Individual provider Active NPI

Michael S Tornwall, M.D.

  • Surgery Physician
  • Logan, OH
National Provider Identifier
1285638957
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35066867T Issued in OH
Practice address
601 State Route 664 N
Logan, OH 43138-8541
Phone
(740) 380-8140
Fax
(740) 380-8510
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35066867T OH Primary

Addresses

Primary practice location

601 State Route 664 N
Logan, OH 43138-8541

Mailing address

PO Box 228
Logan, OH 43138-0228
Phone (740) 385-7564

Other identifiers 2

IdentifierTypeStateIssuer
0974021MedicaidOH
000000195026OtherOHANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtornwall608378@direct.osumc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100604000831 OH Practitioner - General Surgery 3870623606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical Branch at Galveston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hocking Valley Medical Group, Inc.Group PAC ID 0345238622, 21 clinicians

Practice addresses (Care Compare)

541 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8350

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066867TOHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hocking Valley Medical Group Transportation CurrentSince Jun 1, 2001 Accepting new patients
Hocking Valley Medical Group, Inc. Surgery CurrentSince Jun 1, 2001 Accepting new patients
Hocking Valley Community Hospital Current Accepting new patients

Locations

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

819 State Route 664 N
Ste B
Logan, OH 43138
Phone (740) 380-8140

819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140

Interoperability endpoints

  • Direct secure messaging: mtornwall608378@direct.osumc.edu

Organizations & group practices 3

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 2

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1285638957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431380228",
            "telephone_number": "740-385-7564",
            "fax_number": "740-385-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ROUTE 664 N",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388541",
            "telephone_number": "740-380-8140",
            "fax_number": "740-380-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNWALL",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35066867T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0974021",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000195026",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtornwall608378@direct.osumc.edu",
            "affiliation": "N",
            "endpointDescription": "Hocking Valley Medical Group, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "819 State Route 664 N Ste B",
            "city": "Logan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431388540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.