DR. JOE O OTHMAN MD NPI 1669464004

NPI Information

  • NPI: 1669464004
  • Provider Name: DR. JOE O OTHMAN, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: RR 2 BOX 169
    GREYROCK PROFESS. PARK
    LEWISBURG, WV
    ZIP 24901
  • Phone: (304) 647-3040

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NPI Details

DR. Joe O Othman, MD is a neurology psychiatry neurology in Lewisburg, WV. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Joe O Othman, MD NPI is 1669464004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

RR 2 BOX 169
GREYROCK PROFESS. PARK
LEWISBURG, WV
ZIP 24901-316
Phone: (304) 647-3040
Fax: (304) 647-3835

The enumeration date for this NPI number is 8/22/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology15411WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B42726MEDICARE UPIN
20089749000MEDICAIDWEST VIRGINIA
39268691MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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