NPI Details
MR. James William Endicott, MD is a family medicine in Kermit, WV with 43 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. James William Endicott, MD NPI is 1790782753. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:1983
The provider's business location address is:
108 MINGO ST
KERMIT, WV
ZIP 25674-430
Phone: (304) 393-4303
Fax: (304) 393-3254
The NPI 1790782753 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 51D0859020 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Automated urinalysis test (HCPCS:81003)
- Urine microalbumin (protein) analysis (HCPCS:82044)
- Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
- Transitional care management services for problem of moderate complexity (HCPCS:99495)
- Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
The enumeration date for this NPI number is 7/6/2005 and was last updated on 2/2/2023.
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 | 207Q00000X | Family Medicine | | 14258 | 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 | 0051733000 | MEDICAID | WEST VIRGINIA | |
