MR. JAMES WILLIAM ENDICOTT (NPI# 1790782753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790782753 |
| Entity Type | Individual |
| Full Name | MR. JAMES WILLIAM ENDICOTT |
| Credential | MD |
| Practice Address |
108 Mingo St Kermit WV 25674-0430 |
| Mailing Address |
Po Box 430 Kermit WV 25674-0430 |
| Practice Telephone | 3043934303 |
| Practice Fax Number | 3043933254 |
| Mailing Telephone | 3043934303 |
| Mailing Fax Number | 3043933254 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2009-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14258 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0051733000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295775526 | James Nesbit Endicott II | Otolaryngology | 555 4th Ave S, St Petersburg, FL 33701-4428 | 2006-06-07 |
| Street Address |
108 MINGO ST |
| City | KERMIT |
| State | WV |
| Zip Code | 25674-0430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487501 | Kierstin Nicole Booth | Technician | 47186 Route 152, Kermit, WV 25674 | 2020-11-06 |
| 1972103711 | Carolyn G Stepp | Technician | 48808 Us 52, Kermit, WV 25674 | 2020-10-30 |
| 1912507724 | Trenna Ann Brewer | Technician | 310 Brewer Road, Left Fork Marrowbone, Kermit, WV 25674 | 2020-10-30 |
| 1316544208 | Pauline Donita Cook | Technician | 140 Salmon Drive, Stepptown, WV 25674 | 2020-10-05 |
| 1619582236 | Charlina Sue Williams | Technician | Route 1 Bo 25, Kermit, WV 25674 | 2020-09-10 |
| 1265047880 | Tiffany Ann Hall | Technician | 200 Vicie Newsome Road, Kermit, WV 25674 | 2020-09-10 |
| 1396350278 | Tabetha Effie Dingess | Technician | 192 Logan Ave., Kermit, WV 25674 | 2020-09-09 |
| 1386257459 | Josephine Newsome | Technician | 266 Church House Road, Kermit, WV 25674 | 2020-08-28 |
| 1457964629 | Helena Gladys Mayhew | Technician | 4288 Marrowbore Creek Road, Kermit, WV 25674 | 2020-08-27 |
| 1477164317 | Nettie Marie Dolen | Technician | 322 Rt. 52 Apt. #8, Kermit, WV 25674 | 2020-08-13 |
| Find all providers in zip 25674 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356426944 | Justice Medical Complex | Family Medicine | Rr Box 330 Us Hwy 52, Kermit, WV 25669 | 2006-10-25 |
| 1285637520 | Stanly T Selby | Family Medicine | 821 Jeffee Dr Annex A, Kermit, TX 79745 | 2005-05-31 |
| 1679953517 | Amanda Compton | Family Medicine | 828 Myer Ln, Kermit, TX 79745 | 2015-06-05 |
| 1841324902 | Arthur Bernard Tiu Fajardo | Family Medicine | 821 Jeffee Dr, Drawer H, Kermit, TX 79745-4610 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652868 | Grace Health Care Pllc | Family Medicine | 223 5th Ave, Huntington, WV 25701-1809 | 2020-09-02 |
| 1356954259 | Relymd Medical Group Wv, Pllc | Family Medicine | 1627 Quarrier St, Charleston, WV 25311-2124 | 2020-08-28 |
| 1174133243 | Jacqulyn Marie Sheppard | Family Medicine | 2647 Raceview Dr, Ona, WV 25545-9636 | 2020-08-04 |
| 1194341594 | E. A. Hawse Health Center, Inc. | Family Medicine | Romney Elementary School, 45 School Street, Romney, WV 26757 | 2020-06-22 |
| 1730705328 | E. A. Hawse Health Center, Inc. | Family Medicine | Romney Middle School, 296 Calvert Drive, Romney, WV 26757 | 2020-06-19 |
| 1437775251 | E. A. Hawse Health Center, Inc. | Family Medicine | Hampshire High School, 157 Trojan Way, Romney, WV 26757-6317 | 2020-06-17 |
| 1235753286 | Community Health Association | Family Medicine | 146 Pinnell St, Ripley, WV 25271-9101 | 2020-06-05 |
| 1871114546 | Family Care Plus Pllc | Family Medicine | 320 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1364 | 2020-05-04 |
| 1073142733 | Total Health and Recovery Clinic, LLC | Family Medicine | 1824 Murdoch Ave Bldg F Suite201, Parkersburg, WV 26101-3230 | 2020-04-05 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 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.