30TH & O

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

30TH & O

Practice address

3600 Park East Dr Apt 539
Beachwood, OH 44122-4358

Phone

(440) 213-9459

NPI assigned

Apr 26, 2024

Last updated

May 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jaclyn Tomsic, MDNPI 1326224783

Title

President

Phone

(440) 213-9459

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclyn A Tomsic, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Independence, OH
  • NPI 1326224783
  NPD Authorized official

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1649026022",
    "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": "3600 PARK EAST DR APT 539",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224358",
            "telephone_number": "440-213-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "30TH & O",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "TOMSIC",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-213-9459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Siobhan Patrice Aaron, APRN
• Hamid Abbas

• Oral and Maxillofacial Surgery Clinic/Center in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.