Active NPI
Therese K Tomasoski, MD
- Pediatrics Physician
- Palmer, AK
National Provider Identifier
1184639775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5385
- Practice address
- 2250 South Woodworth Loop
Suite 101
Palmer, AK 99645-7457 - Phone
- (907) 761-5900
- Fax
- (907) 761-5999
- NPI assigned
- Jul 30, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5385 | AK | Primary |
Addresses
Primary practice location
2250 South Woodworth Loop
Suite 101
Palmer, AK 99645-7457
Mailing address
3760 Piper St
Suite 1060
Anchorage, AK 99508-4665
Phone (907) 212-6522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD5385 | Medicaid | AK |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5385 | AK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptarmigan Pediatrics LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360540800000",
"number": "1184639775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3760 PIPER ST",
"address_2": "SUITE 1060",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084665",
"telephone_number": "907-212-6522",
"fax_number": "907-212-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 SOUTH WOODWORTH LOOP",
"address_2": "SUITE 101",
"city": "PALMER",
"state": "AK",
"postal_code": "996457457",
"telephone_number": "907-761-5900",
"fax_number": "907-761-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASOSKI",
"first_name": "THERESE",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2013-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AK",
"license": "5385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD5385",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.