JOE O OTHMAN MD INC NPI 1740305275

NPI Information

NPI: 1740305275
Provider Name: JOE O OTHMAN MD INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
RR 2 BOX 169
GREYROCK PROFESS. PARK
LEWISBURG, WV
ZIP 24901
Phone: (304) 647-3040
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JOE O OTHMAN MD INC 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. JOE O OTHMAN MD INC NPI is 1740305275. The provider is registered as an organization entity type and is a single specialty group.

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 provider's authorized official is Joe O Othman .
The authorized official title is President and has the following contact phone number (304) 647-3040.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 9/25/2014.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	15411	WEST VIRGINIA	Yes

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
1	0089749000	MEDICAID	WEST VIRGINIA
2	9268691	OTHER	WEST VIRGINIA	MEDICARE PTAN

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: 5/5/2024

NPI Synchronization or Removal

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