Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tamejiro Takubo Jr., DO

Individual provider Pulmonary Disease Physician · NPI 1841218872

Dr. Tamejiro Takubo Jr., DO is a Pulmonary Disease in South Charleston, West Virginia. Graduated from West Virginia School of Osteopathic Medicine in 1999, 27 years ago. Practices with Princeton Community Hospital Assn Inc, a 175-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
27
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
WV
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone: (304) 400-4545
Fax: (304) 400-4546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 — (304) 388-5432

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 1828 (WV)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 1828 (WV)

Record details

NPI number1841218872
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1999 (27 years in practice)
Group practice Princeton Community Hospital Assn. Inc. — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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