Provider Demographics
NPI:1578686226
Name:TOMLINSON, WILLIAM PAUL (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PAUL
Last Name:TOMLINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 GARFIELD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-2527
Mailing Address - Country:US
Mailing Address - Phone:304-893-9090
Mailing Address - Fax:304-893-9113
Practice Address - Street 1:2012 GARFIELD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2527
Practice Address - Country:US
Practice Address - Phone:304-893-9090
Practice Address - Fax:304-893-9113
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23984207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810018372Medicaid
OH3051003Medicaid
OH3051003Medicaid