Active NPI
Elizabeth Tom, MD
- Surgery Physician
- Elko, NV
National Provider Identifier
1780739573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 6398
- Practice address
- 1995 Errecart Blvd Ste 103
Elko, NV 89801-8336 - Phone
- (775) 738-3111
- Fax
- (775) 778-6728
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 6398 | NV | Primary |
Addresses
Primary practice location
1995 Errecart Blvd Ste 103
Elko, NV 89801-8336
Mailing address
1995 Errecart Blvd Ste 103
Elko, NV 89801-8336
Phone (775) 738-3111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS06300 | Other | NV | STATE PHARMACY |
| 002004000 | Medicaid | NV | |
| 6398 | Other | NV | MEDICAL BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1780739573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 ERRECART BLVD STE 103",
"city": "ELKO",
"state": "NV",
"postal_code": "898018336",
"telephone_number": "775-738-3111",
"fax_number": "775-778-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 ERRECART BLVD STE 103",
"city": "ELKO",
"state": "NV",
"postal_code": "898018336",
"telephone_number": "775-738-3111",
"fax_number": "775-778-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2023-03-07",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NV",
"license": "6398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY",
"identifier": "CS06300",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002004000",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD",
"identifier": "6398",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.