Walter W Tom, MD, FACS

Primary specialty

SpecialistTaxonomy code 174400000X

License

G57374 Issued in CA

Practice address

170 Farmers LN Ste 6B
Santa Rosa, CA 95405-4768

Phone

(707) 542-8346

Fax

(707) 542-9173

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861414179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 FARMERS LN STE 6B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054768",
            "telephone_number": "707-542-8346",
            "fax_number": "707-542-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FARMERS LN STE 6B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054768",
            "telephone_number": "707-542-8346",
            "fax_number": "707-542-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "WALTER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G57374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd R Skabelund DDS Inc (Wiseman and Skabelund Dentistry)
• Todd Soares (North Santa Rosa Physical Therapy)
• Michael Eugene Todd
• John Harold Tolin, DDS
• Jasmine Tollinchi
• Arthur Louis Tomaszewski, DDS
• Christine Valdepenas Tomaszewski, D.D.S.
• Anne Tomin, PSY.D.
• Rozanne Tomlinson
• Geoffrey Stuart Tompkins, M.D.

• Specialist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.