Traditional American Osteopathy, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRADITIONAL AMERICAN OSTEOPATHY, LLC

Practice address

505 Camino de Los Marquez
Santa Fe, NM 87505-1837

Phone

(505) 405-8423

Fax

(505) 485-0641

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 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

Tiffany Ann Robak, DONPI 1003376203

Title

Physician/Owner

Phone

(414) 614-5758

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 2

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.

• Tiffany A Robak, DO

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1003376203

  Single Specialty

  Medicare reassignment NPD Authorized official
• Casey F Onik, DO

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1881922748
  Medicare reassignment NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1659138832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 ZAFARANO DR STE C",
            "address_2": "PMB 249",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "505-405-8423",
            "fax_number": "505-485-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CAMINO DE LOS MARQUEZ",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051837",
            "telephone_number": "505-405-8423",
            "fax_number": "505-485-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONAL AMERICAN OSTEOPATHY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "ROBAK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "414-614-5758",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriah Toups
• Rebecca Townsend Barker, RN
• Marta E. Townsend, LCSW
• Tracy Levon Townsend, LPC, LPCC
• Brian J Tracey, CDT
• Traditional Healing Arts, LLC
• Emma Tragert
• Linda Trageser, LMT, MA
• Kerry Tramontanas
• Jonathan Andrew Trapp, DOM

• Family Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.