Provider Demographics
NPI:1851393474
Name:TOUMA, B JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:B
Middle Name:JOSEPH
Last Name:TOUMA
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 1:5170 US RT 60 EAST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705
Mailing Address - Country:US
Mailing Address - Phone:304-528-4600
Mailing Address - Fax:
Practice Address - Street 1:5170 US RT 60 EAST
Practice Address - Street 2:SUITE 100
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705
Practice Address - Country:US
Practice Address - Phone:304-528-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY36609207YX0901X
OH85251207YX0901X
WV18680207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV2002447000Medicaid
KY64029432Medicaid
OH2238233Medicaid
P01392695OtherMEDICARE RAILROAD
WVP01354638OtherMEDICARE RAILROAD
KY64029432Medicaid
OH2238233Medicaid
WV2002447000Medicaid
P01392695OtherMEDICARE RAILROAD