Individual provider Active NPI

Thomas R Tobin, M.D.

  • Emergency Medicine Physician
  • Ritzville, WA
National Provider Identifier
1194801589
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD00043488 Issued in WA
Practice address
902 S Adams St
Ritzville, WA 99169-2228
Phone
(509) 448-2389
Fax
(888) 868-4804
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00043488 WA Primary

Addresses

Primary practice location

902 S Adams St
Ritzville, WA 99169-2228

Mailing address

3319 E 71St Ave
Spokane, WA 99223-1908
Phone (509) 448-2389

Other identifiers 1

IdentifierTypeStateIssuer
8403032MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20180604001812 CO Practitioner - Emergency Medicine 2769434364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albany Medical College of Union University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado West Healthcare SystemGroup PAC ID 3971491887, 35 clinicians

Practice addresses (Care Compare)

2351 G Rd
Grand Junction, CO 81505-9641
Phone (970) 242-0920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Healthcare System CurrentSince Jul 9, 2018 Accepting new patients
Colorado West Healthcare System Current Accepting new patients
Colorado West Healthcare System CurrentSince Jul 9, 2018 Accepting new patients
Spokane Emergency Medicine Associates, PS Emergency Medicine Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Spokane Washington Hospital Company LLC Past Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1194801589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 E 71ST AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992231908",
            "telephone_number": "509-448-2389",
            "fax_number": "888-868-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S ADAMS ST",
            "city": "RITZVILLE",
            "state": "WA",
            "postal_code": "991692228",
            "telephone_number": "509-448-2389",
            "fax_number": "888-868-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00043488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8403032",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ritzville, WA

Sources for this page

Verify at the official NPI Registry.