Individual
JAMES ROBERT TOOTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13 EDGEWOOD DR, HURRICANE, WV 25526-9218
(304) 539-5557
(304) 757-5557
Mailing address
13 EDGEWOOD DR, HURRICANE, WV 25526-9218
(304) 539-5557
(304) 757-5557
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
1441
WV
207R00000X
Internal Medicine Physician
Primary
1441
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000712231
BCBS INDIVIDUAL
WV
05
—
0045606000
—
WV
01
—
023206600
FEDERAL BLACK LUNG
WV
01
—
110135471
RAILROAD MEDICARE
WV
05
—
2047636
—
OH
01
—
550737998
WV WORKERS COMP
WV
Enumeration date
05/18/2006
Last updated
11/08/2024
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