DR. JOE O OTHMAN (NPI# 1669464004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669464004 |
| Entity Type | Individual |
| Full Name | DR. JOE O OTHMAN |
| Credential | MD |
| Practice Address |
Rr 2 Box 169 Greyrock Profess. Park Lewisburg WV 24901-9316 |
| Mailing Address |
Rr02 Box 169 Greyrock Profess. Park Lewisburg WV 24901-9316 |
| Practice Telephone | 3046473040 |
| Practice Fax Number | 3046473835 |
| Mailing Telephone | 3046473040 |
| Mailing Fax Number | 3046473835 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
15411 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0089749000 | 05 |
| Street Address |
RR 2 BOX 169 GREYROCK PROFESS. PARK |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-9316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740305275 | Joe O Othman Md Inc | Psychiatry & Neurology | Rr 2 Box 169, Greyrock Profess. Park, Lewisburg, WV 24901-9316 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518354091 | Jessica Ahlum | Psychiatry & Neurology | 3 Hospital Dr Ste 212, Lewisburg, PA 17837-9394 | 2015-04-22 |
| 1740305275 | Joe O Othman Md Inc | Psychiatry & Neurology | Rr 2 Box 169, Greyrock Profess. Park, Lewisburg, WV 24901-9316 | 2007-03-21 |
| 1396764015 | John Edward Rice IIi | Psychiatry & Neurology | 3 Hospital Dr, Suite 212, Lewisburg, PA 17837-9362 | 2006-07-19 |
| 1154340461 | Mark Andrew Blakeslee | Psychiatry & Neurology | 3 Hospital Dr, Suite 212, Lewisburg, PA 17837-9362 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730614512 | Synoptic Neurosciences Institute Inc | Psychiatry & Neurology | 1200 Harrison Ave Ste 146, Elkins, WV 26241 | 2017-04-28 |
| 1508245572 | Vasile Nicolae Popa | Psychiatry & Neurology | 1256 N Eisenhower Dr Ste 700, Beckley, WV 25801-3120 | 2015-05-24 |
| 1003253709 | Integrated Health Care Providers, Inc. | Psychiatry & Neurology | 1208 Hospital Drive, Hurricane, WV 25526 | 2013-06-04 |
| 1053670414 | Muhammad Taimoor Khan | Psychiatry & Neurology | 415 Morris St Ste 300, Charleston, WV 25301-1853 | 2012-05-04 |
| 1679716823 | James H. Sherry | Psychiatry & Neurology | 740 Cobun Creek Rd, Suite 1, Morgantown, WV 26508-3827 | 2009-04-16 |
| 1043489776 | Georgianna M Richards | Psychiatry & Neurology | 415 Carriage Dr, Beckley, WV 25801-2805 | 2008-02-27 |
| 1760506018 | Mouhannad Azzouz | Psychiatry & Neurology | 1325 Locust Ave Fl 3, Fairmont, WV 26554-1435 | 2007-03-19 |
| 1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
| 1457457723 | Alvaro R. Gutierrez | Psychiatry & Neurology | 2199 Cheat Rd, Morgantown, WV 26508-4451 | 2006-09-15 |
| 1063517753 | Panhandle Neurology Center, Inc. | Psychiatry & Neurology | 156 Health Care Ln, Martinsburg, WV 25401-4009 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.