MEDICARE: JAMES AMEDIO TOTORO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	OK10905	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043298177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES AMEDIO TOTORO MD

Provider Business Mailing Address
First Line	:	13321 N MERIDIAN AVE
Second Line	:	SUITE 400
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8356
Country	:	US
Telephone Number	:	405-608-6868
Fax Number	:	405-463-3326

Provider Business Practice Location Address
First Line	:	13321 N MERIDIAN AVE
Second Line	:	SUITE 400
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8356
Country	:	US
Telephone Number	:	405-608-6868
Fax Number	:	405-463-3326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	02/22/2016

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