Active NPI
Joseph Tokaruk, MD
- Specialist
- Cookeville, TN
National Provider Identifier
1306908173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD29894
- Practice address
- 109 W 6TH St
Cookeville, TN 38501-1721 - Phone
- (931) 372-1885
- Fax
- (931) 372-2234
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD29894 | TN | Primary |
Addresses
Primary practice location
109 W 6TH St
Cookeville, TN 38501-1721
Mailing address
109 W 6TH St
Cookeville, TN 38501-1721
Phone (931) 372-1885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100507000449 | TN | Practitioner - Internal Medicine | 6002942315 | Practice locations: Cookeville, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD29894 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306908173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 6TH ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011721",
"telephone_number": "931-372-1885",
"fax_number": "931-372-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 6TH ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011721",
"telephone_number": "931-372-1885",
"fax_number": "931-372-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOKARUK",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD29894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.