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

Mr. James William Endicott, MD

Individual provider Family Medicine Physician · NPI 1790782753

Mr. James William Endicott, MD is a Family Practice in Kermit, West Virginia. Graduated from Jc Edwards School of Medicine, Marshall University in 1983, 43 years ago. Practices with University Physicians and Surgeons, Inc, a 383-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
43
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
WV
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

108 Mingo St
Kermit, WV 25674-0430
Phone: (304) 393-4303
Fax: (304) 393-3254
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 14258 (WV)

Record details

NPI number1790782753
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 6, 2005
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023
Mailing addressPo Box 430, Kermit, WV 25674-0430

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 1983 (43 years in practice)
Group practice University Physicians And Surgeons, Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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