Jaclyn A Tomsic, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

35.136163 Issued in OH

Practice address

6701 Rockside Rd Ste 209
Independence, OH 44131-2316

Phone

(216) 328-1234

NPI assigned

Jan 16, 2008

Last updated

Feb 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtomsic37988@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 30TH & O

  • Oral and Maxillofacial Surgery Clinic/Center
  • Beachwood, OH
  • NPI 1649026022
  NPD Authorized official
• Case Dental Medicine Support Services, LLC.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cleveland, OH
  • NPI 1104059658
  Medicare reassignment
• Ashoo Khanuja DDS MD Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Independence, OH
  • NPI 1417116633
  NPD
• Ashoo Khanuja, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Independence, OH
  • NPI 1700044633
  NPD (past)
• The Metrohealth System

  dba Metrohealth Professional Group

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896

  Surgery

  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1326224783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PARK EAST DR APT 539",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224358",
            "telephone_number": "440-213-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD STE 209",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312316",
            "telephone_number": "216-328-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S New Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418232",
            "country_code": "US",
            "telephone_number": "314-251-6725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9601 Chester Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061666",
            "country_code": "US",
            "telephone_number": "216-368-3102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMSIC",
        "first_name": "JACLYN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022696",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.022696",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2014025584",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2014032411",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "35.136163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TLC the Laser Center (Northeast) Inc. (TLC Laser Eye Centers Cleveland)
• Tamara Ann Todt
• Kimberly Ann Togliatti-Trickett, M.D.
• Toledo Center for Eating Disorders LLC (Pasadena Villa Outpatient - Cleveland)
• Brianne J Tolley
• Judith Mary Topola, INDEPENDENT PROVIDER
• Augusto Torres, MD
• Melanie Tran
• Patricia W Travis, CNP
• McKayla Rae Triplett

• Oral & Maxillofacial Surgery (D.M.D.) in Independence, OH
• Providers in Independence, OH by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.

Verify at the official NPI Registry.