Provider Demographics
NPI:1215120308
Name:JAMES A TOTORO MD PLLC
Entity type:Organization
Organization Name:JAMES A TOTORO MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:TOTORO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-608-6868
Mailing Address - Street 1:13321 N MERIDIAN AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8356
Mailing Address - Country:US
Mailing Address - Phone:405-608-6868
Mailing Address - Fax:405-463-3326
Practice Address - Street 1:13321 N MERIDIAN AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8356
Practice Address - Country:US
Practice Address - Phone:405-608-6868
Practice Address - Fax:405-463-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOK10905174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100129290BMedicaid
OKD35359OtherUPIN
OK100129290BMedicaid