Individual
JAMES R OTWORTH
Active
Individual
JAMES R OTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21422
MS
207L00000X
Anesthesiology Physician
Primary
34004394
OH
207L00000X
Anesthesiology Physician
C4230
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0843985
—
OH
05
—
08825018
—
MS
05
—
140216
—
AL
05
—
64017759
—
KY
Enumeration date
03/31/2006
Last updated
09/19/2025
Update your record
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