Individual provider Active NPI

Sharon Marie Tomaski, MD

  • Otolaryngology Physician
  • El Dorado, AR
National Provider Identifier
1275605206
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35.120287 Issued in OH
Practice address
620 W Grove St Ste 201
El Dorado, AR 71730-4425
Phone
(870) 864-3352
Fax
(870) 864-3255
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 39311 CO
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 39311 CO
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 35.120287 OH
Otolaryngology Physician 207Y00000X 35.120287 OH Primary

Addresses

Primary practice location

620 W Grove St Ste 201
El Dorado, AR 71730-4425

Mailing address

620 W Grove St Ste 201
El Dorado, AR 71730-4425
Phone (870) 864-3352

Other identifiers 4

IdentifierTypeStateIssuer
P01262055OtherOHRAILROAD MEDICARE - MHCPI
0074130MedicaidOH
3810024380MedicaidWV
85882046MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151022002017 AR Practitioner - Otolaryngology 3971586280
I20200327002087 PA Practitioner - Otolaryngology 3971586280 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.120287OHMDOtolaryngology Physician
39311COMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc CurrentSince Mar 1, 2020 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
South Arkansas Physician Services LLC CurrentSince Oct 1, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

620 W Grove St
Ste 202
El Dorado, AR 71730
Phone (870) 863-2420

620 W Grove St
Ste 201
El Dorado, AR 71730
Phone (870) 875-5500

525 W Faulkner St
El Dorado, AR 71730
Phone (870) 337-2009

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

800 S Logan Blvd
Ste 3100
Hollidaysburg, PA 16648
Phone (814) 889-4300

Organizations & group practices 4

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1275605206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W GROVE ST STE 201",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304425",
            "telephone_number": "870-864-3352",
            "fax_number": "870-864-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W GROVE ST STE 201",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304425",
            "telephone_number": "870-864-3352",
            "fax_number": "870-864-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASKI",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "CO",
            "license": "39311",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CO",
            "license": "39311",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "OH",
            "license": "35.120287",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35.120287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - MHCPI",
            "identifier": "P01262055",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074130",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810024380",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85882046",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.