Tomar Pain Centers II, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OTC4997 Issued in AZ

Legal business name

TOMAR PAIN CENTERS II, PLLC

Practice address

919 12TH PL Ste 12B
Prescott, AZ 86305-1433

Phone

(928) 771-2700

Fax

(928) 771-2747

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Jessica Haney

Title

Business Manager

Phone

(520) 421-0986

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 03C0001366

Legal name

TOMAR PAIN CENTERS II, PLLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 20, 2007

Last certification

Jul 29, 2021

Ownership / control type

Proprietary

Facility address

919 12TH Place, Suite 12B
Prescott, AZ 86305

Locations

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1265745103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 12TH PL STE 12B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051433",
            "telephone_number": "928-771-2700",
            "fax_number": "928-771-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 12TH PL STE 12B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051433",
            "telephone_number": "928-771-2700",
            "fax_number": "928-771-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAR PAIN CENTERS II, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "520-421-0986"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": "OTC4997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul B Tilyou, MD
• Elizabeth Tismeer, LMFT
• TKC Holdings LLC
• Hang To, PHARM. D
• Michael Tokunaga
• Zachary Tompkins
• Kelly Marie Tone, MSN-ED, BSN, RN
• Anthony V Torres, M.D.
• Gina Danielle Torres, LMT
• James Michael Townsel, LPN, LMT

• Ambulatory Surgical Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.