Provider Demographics
NPI:1588658108
Name:TOWE, JAMES HALSEY (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HALSEY
Last Name:TOWE
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:PO BOX 17334
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-1334
Mailing Address - Country:US
Mailing Address - Phone:703-443-6717
Mailing Address - Fax:703-443-8643
Practice Address - Street 1:441 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-3170
Practice Address - Country:US
Practice Address - Phone:540-338-6101
Practice Address - Fax:540-338-7803
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052993207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010086744Medicaid
P00151711OtherRR MEDICARE
VA005518L19Medicare PIN
P00151711OtherRR MEDICARE