Active NPI
Liz Tomichen
- Physician Assistant
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2425
- Practice address
- 2017 W I 35 Frontage Rd
Suite 170
Edmond, OK 73013-8550 - Phone
- (405) 757-3365
- Fax
- (405) 757-3366
- NPI assigned
- Jan 10, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2425 | OK | Primary |
Addresses
Primary practice location
2017 W I 35 Frontage Rd
Suite 170
Edmond, OK 73013-8550
Mailing address
2017 W I 35 Frontage Rd
Suite 170
Edmond, OK 73013-8550
Phone (405) 757-3365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- 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 |
|---|---|---|---|
| 2425 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Interoperability endpoints
- liz.tomichen.1@17630.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- Orthopaedic Surgery Physician
- Lawton, OK
- NPI 1013169531
-
- Rheumatology Physician
- Lawton, OK
- NPI 1689179715
-
- Rural Health Clinic/Center
- Crescent, OK
- NPI 1659652071
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1639568942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 W I 35 FRONTAGE RD",
"address_2": "SUITE 170",
"city": "EDMOND",
"state": "OK",
"postal_code": "730138550",
"telephone_number": "405-757-3365",
"fax_number": "405-757-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 W I 35 FRONTAGE RD",
"address_2": "SUITE 170",
"city": "EDMOND",
"state": "OK",
"postal_code": "730138550",
"telephone_number": "405-757-3365",
"fax_number": "405-757-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMICHEN",
"first_name": "LIZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-10",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.