Provider Demographics
NPI:1710603642
Name:HESS, JOSEPH DAVID III (MSPAS)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:DAVID
Last Name:HESS
Suffix:III
Gender:M
Credentials:MSPAS
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Mailing Address - Street 1:2939 BEEBE RD
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-9739
Mailing Address - Country:US
Mailing Address - Phone:269-262-9136
Mailing Address - Fax:
Practice Address - Street 1:7895 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-6665
Practice Address - Country:US
Practice Address - Phone:219-947-1910
Practice Address - Fax:219-947-3117
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN10003806A363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical