Active NPI
Jeffrey E Tomjack, M.D.
- Obstetrics & Gynecology Physician
- Lincoln, NE
National Provider Identifier
1447225339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 19220
- Practice address
- 6050 Village Dr
Lincoln, NE 68516-4732 - Phone
- (402) 421-8581
- Fax
- (402) 421-8594
- NPI assigned
- Feb 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 19220 | NE | Primary |
Addresses
Primary practice location
6050 Village Dr
Lincoln, NE 68516-4732
Mailing address
6050 Village Dr
Lincoln, NE 68516-4732
Phone (402) 421-8581
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31070 | Other | NE | BLUE CROSS NEBRASKA |
| 4756 | Other | NE | MIDLANDS CHOICE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeffrey.tomjack@gsodocs.directbygreenway.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Nebraska College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6050 Village Dr
Lincoln, NE 68516-4714
Phone (402) 421-8581
Hospital & facility affiliations
- Bryan Medical Center
- CHI Health St. Elizabeth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gynecologic Surgeons & Obstetricians, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Saint Elizabeth Regional Medical Center | Past | Accepting new patients | |
| Bryan Medical Center | Past | Accepting new patients |
Locations
6120 Village Dr
Lincoln, NE 68516
Phone (402) 420-2626
6050 Village Dr
Lincoln, NE 68516
Phone (402) 421-8581
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73670
- jeffrey.tomjack@gsodocs.directbygreenway.com
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.
-
- Obstetrics & Gynecology Physician
- Lincoln, NE
- NPI 1457396244
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1447225339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6050 VILLAGE DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164732",
"telephone_number": "402-421-8581",
"fax_number": "402-421-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 VILLAGE DR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164732",
"telephone_number": "402-421-8581",
"fax_number": "402-421-8594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMJACK",
"first_name": "JEFFREY",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NE",
"license": "19220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NEBRASKA",
"identifier": "31070",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "4756",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeffrey.tomjack@gsodocs.directbygreenway.com",
"affiliation": "N",
"address_1": "6050 Village Dr",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685164732",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.