Active NPI
Allison Tomack, PA-C
- Physician Assistant
- Bryn Mawr, PA
National Provider Identifier
1154912376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA062296
- Practice address
- 825 Old Lancaster Rd Ste 170
Bryn Mawr, PA 19010-3234 - Phone
- (610) 527-0800
- NPI assigned
- Jan 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA062296 | PA | Primary |
Addresses
Primary practice location
825 Old Lancaster Rd Ste 170
Bryn Mawr, PA 19010-3234
Mailing address
1338 Chestnut St Apt 610
Philadelphia, PA 19107-4505
Phone (570) 916-0417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA062296 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611964800000",
"number": "1154912376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 CHESTNUT ST APT 610",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074505",
"telephone_number": "570-916-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 OLD LANCASTER RD STE 170",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190103234",
"telephone_number": "610-527-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMACK",
"first_name": "ALLISON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-30",
"last_updated": "2021-01-30",
"certification_date": "2021-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA062296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.