Active NPI
David R. Tomazic, D.O., LLC
- Family Medicine Physician
- Forest City, PA
National Provider Identifier
1811160237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS004178L
- Legal business name
- DAVID R. TOMAZIC, D.O., LLC
- Practice address
- 632 Main St
Forest City, PA 18421-1483 - Phone
- (570) 785-5599
- Fax
- (570) 785-3552
- NPI assigned
- Apr 7, 2008
- Last updated
- Nov 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David R. Tomazic, D.O.
- Title
- President
- Phone
- (570) 785-5599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS004178L | PA | Primary |
Addresses
Primary practice location
632 Main St
Forest City, PA 18421-1483
Mailing address
632 Main St
Forest City, PA 18421-1483
Phone (570) 785-5599
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102107900001 | Medicaid | PA | |
| 080001919 | Other | RAILROAD MEDICARE | |
| 040568 | Other | PA | PA BLUE SHIELD |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/3691/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
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.
-
- Rehabilitation Chiropractor
- Forest City, PA
- NPI 1023174158
-
- Foot Surgery Podiatrist
- Peckville, PA
- NPI 1053337931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227052800000",
"number": "1811160237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 MAIN ST",
"city": "FOREST CITY",
"state": "PA",
"postal_code": "184211483",
"telephone_number": "570-785-5599",
"fax_number": "570-785-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 MAIN ST",
"city": "FOREST CITY",
"state": "PA",
"postal_code": "184211483",
"telephone_number": "570-785-5599",
"fax_number": "570-785-3552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID R. TOMAZIC, D.O., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-07",
"last_updated": "2008-11-19",
"status": "A",
"authorized_official_last_name": "TOMAZIC",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-785-5599",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS004178L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102107900001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080001919",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "040568",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest City, PA
- Christine M Chesna, PT
- Christa Mackenzie Chmil, OTR/L
- Comprehensive Physical Therapy, Inc
- Cooney & O'Hara Medical Equipment
- Paul W Cosby, MD
- Rebecca J Defrancesco, DPT
- Electric City Dental Group (Forest City Dental)
- Fcnrc, LP (Forest City Nursing and Rehab Center)
- Kristine A Fell, OTR
- Penny Jayne Ford, L.P.N
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.