Organization Active NPI

James R. Toothman DO PLLC

  • Family Medicine Physician
  • Elizabeth, WV
National Provider Identifier
1154104081
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JAMES R. TOOTHMAN DO PLLC
Practice address
83 Little Kanawha Pkwy
Elizabeth, WV 26143-5995
Phone
(304) 422-3904
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ally Cardenas
Title
Credentialing Specialist
Phone
(740) 586-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

83 Little Kanawha Pkwy
Elizabeth, WV 26143-5995

Mailing address

601 Avery St Ste 501
Parkersburg, WV 26101-5192
Phone (304) 422-3904

National Provider Directory

National Provider Directory
Tax ID family
James R Toothman DO PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

83 Little Kanawha Pkwy
Elizabeth, WV 26143
Phone (304) 422-3904

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1154104081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 AVERY ST STE 501",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015192",
            "telephone_number": "304-422-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 LITTLE KANAWHA PKWY",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261435995",
            "telephone_number": "304-422-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. TOOTHMAN DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "ALLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "740-586-0881"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.