# JAMES H EXTINE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609803477
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 071493 | GA | — |
| 207X00000X | Orthopaedic Surgery Physician | 307337 | LA | Yes |
| 207X00000X | Orthopaedic Surgery Physician | DO0000001192 | TN | — |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1120944 | CIGNA | TN |
| 01 | — | 1170140002 | PALMETTO GBA | TN |
| 01 | — | 200037893 | RAILROAD MEDICARE | TN |
| 05 | — | 2462750 | — | LA |
| 01 | — | 3139316 | BLUE CROSS BLUE SHIELD TN | TN |
| 05 | — | 3304909 | — | TN |
| 01 | — | 373856800 | OWCP | TN |
| 01 | — | TN0139 | AMERICHOICE TENNCARE | TN |