Individual provider Active NPI

Mark Tomsho, M.D.

  • Specialist
  • Summersville, WV
National Provider Identifier
1326016783
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14672 Issued in WV
Practice address
400 Fairview Heights Rd
Suite 302
Summersville, WV 26651-9308
Phone
(304) 872-7063
Fax
(304) 872-7080
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14672 WV Primary

Addresses

Primary practice location

400 Fairview Heights Rd
Suite 302
Summersville, WV 26651-9308

Mailing address

400 Fairview Heights Rd
Suite 302
Summersville, WV 26651-9308
Phone (304) 872-7063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20141206000268 WV Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7810074341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14672WVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Summersville Pediatrics, Inc. PastSince Jan 23, 2008 Accepting new patients
Summersville Pediatrics Inc. Specialist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mtomsho@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Summersville Pediatrics Inc.Summersville, WV, CCN 513893 Rural health clinic Corporate Director Jan 23, 2008
Summersville Pediatrics Inc.Webster Springs, WV, CCN 513924 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 3, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1326016783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "address_2": "SUITE 302",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-7063",
            "fax_number": "304-872-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "address_2": "SUITE 302",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-7063",
            "fax_number": "304-872-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMSHO",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "14672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.