A D Tomas MD LTD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036048141 Issued in IL

Legal business name

A D TOMAS MD LTD

Practice address

1100 E Norris Drive Dept of Pathology
Ottawa Regional Hospital & Healthcare Center
Ottawa, IL 61350-1604

Phone

(815) 434-5500

Fax

(815) 434-2939

NPI assigned

Dec 27, 2007

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Randolph

Title

Manager - Financial Services

Phone

(888) 843-8475

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1225212236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613500732",
            "telephone_number": "888-843-8475",
            "fax_number": "314-849-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E NORRIS DRIVE DEPT OF PATHOLOGY",
            "address_2": "OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501604",
            "telephone_number": "815-434-5500",
            "fax_number": "815-434-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A D TOMAS MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER - FINANCIAL SERVICES",
        "authorized_official_telephone_number": "888-843-8475",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036048141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060002218",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048141",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "5000298",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 24 On Physicians, PC
• 3D Mobile Imaging LLC
• A Mindful Space Therapy and Coaching PLLC
• Idries Abdur-Rahman, M.D.
• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Shahamah Ahmed, MD
• Kimberly Sharon Alamprese, P.T.A.

• Anatomic Pathology & Clinical Pathology Physician in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.