Individual provider Active NPI

Gina C. Tomkus, PA-C

  • Medical Physician Assistant
  • Florence, AZ
National Provider Identifier
1669667168
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6322 Issued in AZ
Practice address
3250 N Pinal Pkwy
Florence, AZ 85132-9459
Phone
(520) 868-2049
Fax
(520) 868-1547
NPI assigned
Sep 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 960531 AZ
Medical Physician Assistant 363AM0700X 6322 AZ Primary

Addresses

Primary practice location

3250 N Pinal Pkwy
Florence, AZ 85132-9459

Mailing address

3250 N Pinal Pkwy
Florence, AZ 85132-9459
Phone (520) 868-2049

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
960531AZMDRegistered Dietitian
6322AZMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Ice Health Service Corps Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1669667168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 N PINAL PKWY",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851329459",
            "telephone_number": "520-868-2049",
            "fax_number": "520-868-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N PINAL PKWY",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851329459",
            "telephone_number": "520-868-2049",
            "fax_number": "520-868-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKUS",
        "first_name": "GINA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-09",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "960531",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.