Individual provider Active NPI

Christa Michelle Tomc, D.O.

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1184980294
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
Q8170 Issued in TX
Practice address
3800 N Lamar Blvd Ste 155
Austin, TX 78756-0002
Phone
(512) 617-9200
Fax
(512) 572-5178
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Q8170 TX Primary

Addresses

Primary practice location

3800 N Lamar Blvd Ste 155
Austin, TX 78756-0002

Mailing address

3800 N Lamar Blvd Ste 155
Austin, TX 78756-0002
Phone (512) 617-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620001411 TX Practitioner - Dermatology 1759672991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio University, College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westlake Dermatology PAGroup PAC ID 6305817230, 52 clinicians

Practice addresses (Care Compare)

1760 Round Rock Ave
Round Rock, TX 78681-4217
Phone (512) 583-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions107
Skin biopsy39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
Q8170TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Dermatology PA Dermatology Current Accepting new patients
Westlake Dermatology, PA Dermatology CurrentSince Jul 1, 2016 Accepting new patients
Westlake Dermatology PA Dermatology CurrentSince Jul 1, 2016 Accepting new patients

Locations

12201 Renfert Way
Ste 305
Austin, TX 78758
Phone (513) 279-3376

164 Belterra Village Way
Ste Y700
Austin, TX 78737
Phone (512) 610-3376

3637 Far West Blvd
Ste E
Austin, TX 78731
Phone (512) 615-2737

8825 FM 2244 Rd
Ste 100
Austin, TX 78746

2201 Onion Creek Pkwy
Austin, TX 78747
Phone (512) 649-3376

3800 N Lamar Blvd
Ste 155
Austin, TX 78756
Phone (512) 617-9200

200 N Lakeline Blvd
Ste A
Cedar Park, TX 78613
Phone (512) 617-3000

401 S FM 620 Rd
Ste 200
Lakeway, TX 78734
Phone (512) 610-0549

800 S US Highway 281
Marble Falls, TX 78654
Phone (830) 693-4800

1760 Round Rock Ave
Round Rock, TX 78681
Phone (512) 583-3376

Organizations & group practices 3

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1184980294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N LAMAR BLVD STE 155",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787560002",
            "telephone_number": "512-617-9200",
            "fax_number": "512-666-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N LAMAR BLVD STE 155",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787560002",
            "telephone_number": "512-617-9200",
            "fax_number": "512-572-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMC",
        "first_name": "CHRISTA",
        "middle_name": "MICHELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q8170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.