Individual provider Active NPI

Ruth Anne Smrekar Tomlinson, MD

  • Pediatrics Physician
  • Wilson, WY
National Provider Identifier
1679509475
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7622A Issued in WY
Practice address
5237 HHR Ranch Rd Ste 1
Wilson, WY 83014-9220
Phone
(307) 699-0932
Fax
(949) 655-6058
NPI assigned
Jun 23, 2006
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 54041 GA
Pediatrics Physician 208000000X 7622A WY Primary
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 7622A WY

Addresses

Primary practice location

5237 HHR Ranch Rd Ste 1
Wilson, WY 83014-9220

Mailing address

PO Box 4755
Jackson, WY 83001-4755
Phone (307) 203-5035

Other identifiers 2

IdentifierTypeStateIssuer
565734917AMedicaidGA
G54041OtherSCSOUTH CAROLINA MEDICAID

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 Medicine

State licenses

LicenseStateTypeSpecialty
54041GAMDEmergency Medicine Physician
7622AWYMDPediatric Hospice and Palliative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cowboy Kids Pediatrics Pediatrics CurrentSince Dec 6, 2020 Accepting new patients
Nurture Pediatrics, PLLC Pediatrics Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Emergency Medicine Past Accepting new patients

Locations

5237 Hhr Ranch Rd
Ste 1
Wilson, WY 83014
Phone (307) 203-5035

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1679509475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4755",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830014755",
            "telephone_number": "307-203-5035",
            "fax_number": "949-655-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 HHR RANCH RD STE 1",
            "city": "WILSON",
            "state": "WY",
            "postal_code": "830149220",
            "telephone_number": "307-699-0932",
            "fax_number": "949-655-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON",
        "first_name": "RUTH ANNE",
        "middle_name": "SMREKAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-02-21",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "54041",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "7622A",
            "primary": true
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "WY",
            "license": "7622A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "565734917A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAID",
            "identifier": "G54041",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.