Active NPI
Paul W Toma, DO
- Orthopaedic Surgery Physician
- Galena, KS
National Provider Identifier
1629073903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0520529
- Practice address
- 444 Four States Dr
Suite 1
Galena, KS 66739-4324 - Phone
- (620) 783-4441
- Fax
- (620) 783-4090
- NPI assigned
- Jun 14, 2005
- Last updated
- Dec 30, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R8F33 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | 2330 | OK | |
| Orthopaedic Surgery Physician | 207X00000X | 0520529 | KS | Primary |
Addresses
Primary practice location
444 Four States Dr
Suite 1
Galena, KS 66739-4324
Mailing address
PO Box 2546
Joplin, MO 64803-2546
Phone (620) 783-4441
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100229760G | Medicaid | KS | |
| 242278620 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2330 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Surgery Center, LLC | Past | Accepting new patients | |
| Orthopaedic Specialists of the Four States LLC | Past | Accepting new patients | |
| Midwest Orthopaedic Surgery Inc | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- ptoma@o4s.mdlogic.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ortho4States DME
- Durable Medical Equipment & Medical Supplies
- Pittsburg, KS
- NPI 1467799106
-
- Orthopaedic Surgery Physician
- Joplin, MO
- NPI 1588617278
-
- Ambulatory Surgical Clinic/Center
- Joplin, MO
- NPI 1013963453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1629073903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2546",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648032546",
"telephone_number": "620-783-4441",
"fax_number": "620-783-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 FOUR STATES DR",
"address_2": "SUITE 1",
"city": "GALENA",
"state": "KS",
"postal_code": "667394324",
"telephone_number": "620-783-4441",
"fax_number": "620-783-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMA",
"first_name": "PAUL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "R8F33",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "2330",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "0520529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100229760G",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242278620",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galena, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.