Edward Tomaneng MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

G7897 Issued in TX

Legal business name

EDWARD TOMANENG MD, PA

Practice address

2000 Medical Pkwy Ste C
San Marcos, TX 78666-7583

Phone

(512) 353-8899

Fax

(512) 353-8311

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Edward U Tomaneng, M.D.

Title

Owner

Phone

(512) 353-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Atencio

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  • Austin, TX
  • NPI 1154086700
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1255575387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE C",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667583",
            "telephone_number": "512-353-8899",
            "fax_number": "512-353-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE C",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667583",
            "telephone_number": "512-353-8899",
            "fax_number": "512-353-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD TOMANENG MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "TOMANENG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-353-8899",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G7897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110610601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.