Jonathan Beckett Tocks, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD017250E Issued in PA

Practice address

4470 Valley St
Enola, PA 17025-1443

Phone

(717) 732-8883

Fax

(717) 732-1640

NPI assigned

Mar 24, 2006

Last updated

Jun 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1710947700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WALNUT ST",
            "address_2": "SUITE 206",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431168",
            "telephone_number": "717-761-0208",
            "fax_number": "717-761-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 VALLEY ST",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251443",
            "telephone_number": "717-732-8883",
            "fax_number": "717-732-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOCKS",
        "first_name": "JONATHAN",
        "middle_name": "BECKETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD017250E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Teeter, MPH, PA-C
• The Giant Company, LLC (Giant Pharmacy #6529)
• Threshold Services LLC
• Ti-Consulting (Family & Implant Dentistry - Mark Cherewka, DMD)
• Emily Grace Tinguely, OTR/L
• Dai Tran, PHARMD.
• Scott David Trask, DMD
• Caitlin Travis
• Michele Trosclair, APRN, WHNP-BC
• Valor Medical Supply

• Family Medicine Physician in Enola, PA
• Providers in Enola, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.

Verify at the official NPI Registry.