Provider Demographics
NPI:1265659460
Name:CARTWRIGHT, JOSEPH ADAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ADAM
Last Name:CARTWRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 734905
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-4905
Mailing Address - Country:US
Mailing Address - Phone:904-800-7246
Mailing Address - Fax:904-299-4116
Practice Address - Street 1:105 WHITEHALL DR STE 115&116
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086
Practice Address - Country:US
Practice Address - Phone:904-800-7246
Practice Address - Fax:904-299-4116
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100176208VP0014X, 207LP2900X, 208VP0014X
MN53294207LP2900X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003954600Medicaid
FLFH608YMedicare PIN
MN720000037Medicare PIN