Individual provider Active NPI

James P Twesten-Otoole, MD

  • Addiction Medicine (Family Medicine) Physician
  • Norton Shores, MI
National Provider Identifier
1174599344
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
4301072802 Issued in MI
Practice address
3570 Henry St
Suite 220
Norton Shores, MI 49441
Phone
(616) 685-6920
Fax
(231) 672-7717
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301072802 MI
Addiction Medicine (Family Medicine) Physician 207QA0401X 4301072802 MI Primary

Addresses

Primary practice location

3570 Henry St
Suite 220
Norton Shores, MI 49441

Mailing address

PO Box 776982
Chicago, IL 60677-6982
Phone (800) 494-5797

Other identifiers 1

IdentifierTypeStateIssuer
1174599344MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jtwestenotoole26207@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031219000437 MI Practitioner - Addiction MedicinePractitioner - Family Practice 5193623825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice
Education
University of Michigan Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Physician NetworkGroup PAC ID 8921996307, 109 clinicians

Practice addresses (Care Compare)

3570 Henry St
Suite 220
Norton Shores, MI 49441-4576
Phone (231) 672-3155

Hospital & facility affiliations

  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jun 1, 2020 Accepting new patients
Mercy Physician Network Family Medicine CurrentSince Jan 1, 2009 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Jun 1, 2020 Accepting new patients
Mercy Physician Network Family Medicine Current Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
Spectrum Health Hospitals Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

300 Lafayette Ave SE
Ste 3200
Grand Rapids, MI 49503
Phone (616) 685-6920

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

3570 Henry St
Ste 120
Norton Shores, MI 49441
Phone (231) 672-7000

3535 Park St
Ste 110
Norton Shores, MI 49444
Phone (231) 672-3155

3570 Henry St
Ste 220
Norton Shores, MI 49441
Phone (231) 672-3155

905 E Colby St
Whitehall, MI 49461
Phone (231) 672-8050

950 36th St SW
Wyoming, MI 49509
Phone (616) 320-0405

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jtwestenotoole26207@direct.trinity-health.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1174599344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776982",
            "telephone_number": "800-494-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 HENRY ST",
            "address_2": "SUITE 220",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "49441",
            "telephone_number": "616-685-6920",
            "fax_number": "231-672-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWESTEN-OTOOLE",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301072802",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301072802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174599344",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtwestenotoole26207@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "MHPP Primary Care Norton Shores Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "3570 Henry St Ste 220",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494414576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.