Active NPI
Zachary Tomasoski, PA-C
- Medical Physician Assistant
- Owosso, MI
National Provider Identifier
1417470469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5315226798
- Practice address
- 1485 E M 21
Owosso, MI 48867-9048 - Phone
- (989) 494-0300
- NPI assigned
- Jul 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5315226798 | MI | Primary |
| Physician Assistant | 363A00000X | PA185145 | OR |
Addresses
Primary practice location
1485 E M 21
Owosso, MI 48867-9048
Mailing address
6020 W Pierson Rd
Flushing, MI 48433-2335
Phone (810) 407-7989
Other practice location 1
1445 Gateway Blvd
Cottage Grove, OR 97424-1224
Phone (541) 640-7625
Other practice location 2
2464 N Seymour Rd
Flushing, MI 48433-9741
Phone (810) 429-4107
Other practice location 3
48134 Highway 58
Oakridge, OR 97463-9601
Phone (541) 640-7625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA185145 | OR | MD | Physician Assistant |
| 5315226798 | MI | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Flushing, MI
- NPI 1780930016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1417470469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 W PIERSON RD",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484332335",
"telephone_number": "810-407-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 E M 21",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488679048",
"telephone_number": "989-494-0300"
}
],
"practiceLocations": [
{
"address_1": "1445 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Cottage Grove",
"state": "OR",
"postal_code": "974241224",
"country_code": "US",
"telephone_number": "541-640-7625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2464 N Seymour Rd",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "MI",
"postal_code": "484339741",
"country_code": "US",
"telephone_number": "810-429-4107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "48134 Highway 58",
"address_purpose": "LOCATION",
"city": "Oakridge",
"state": "OR",
"postal_code": "974639601",
"country_code": "US",
"telephone_number": "541-640-7625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMASOSKI",
"first_name": "ZACHARY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-21",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5315226798",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA185145",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.