Active NPI
Kenneth Hugh Tomczyk, D.O.
- Family Medicine Physician
- Ridgeland, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 93632
- Practice address
- 50 Terrace Dr
Ridgeland, SC 29936-5097 - Phone
- (843) 547-4765
- Fax
- (843) 547-4766
- NPI assigned
- Aug 8, 2007
- Last updated
- Jun 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS013802 | PA | |
| Family Medicine Physician | 207Q00000X | 93632 | SC | Primary |
Addresses
Primary practice location
50 Terrace Dr
Ridgeland, SC 29936-5097
Mailing address
50 Terrace Dr
Ridgeland, SC 29936-5097
Phone (843) 547-4765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102173336 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ktomczyk84899@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cora South Carolina LLC
Practice addresses (Care Compare)
50 Terrace Dr
Ridgeland, SC 29936-5097
Phone (843) 547-4765
876 Fording Island Rd
Bluffton, SC 29910-8677
Phone (843) 507-8473
Hospital & facility affiliations
- Aveanna Home Health
- Amedisys Home Health of Bluffton
- Enhabit Home Health Bluffton
- Beaufort County Memorial Hospital
- Coastal Carolina Hospital
- Novant Health Hilton Head Medical Center
- Candler Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Ochsner 65 Plus HH Okatie Crossing | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinc | Past | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Past | Accepting new patients |
| Geisinger Clinic | Family Medicine | Past | Accepting new patients |
| Geisinger Clinic | Family Medicine | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Lewistown Hospital | Past | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Past | Accepting new patients |
| Geisinger Clinic | Family Medicine | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178
100 N Academy Ave
Danville, PA 17822
499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161
56 Jam House Rd
Mifflin, PA 17058
Phone (717) 436-8986
12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978
125 Scranton Pocono Hwy
Scranton, PA 18505
Phone (570) 342-8500
3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054
531 Mt Pleasant Dr
Scranton, PA 18503
Phone (570) 342-8500
35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072
50 Terrace Dr
Ridgeland, SC 29936
Phone (843) 547-4765
Interoperability endpoints
- ktomczyk2433758@direct.ochsner.org
- ktomczyk84899@direct.geisinger.edu
Organizations & group practices 31
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.
-
dba Ochsner 65 Plus- Okatie
- Internal Medicine Physician
- Ridgeland, SC
- NPI 1497455232
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Family Medicine Physician
- Mifflintown, PA
- NPI 1558897868
-
- Internal Medicine Physician
- Wilkes Barre, PA
- NPI 1104067677
-
- Neurology Physician
- Scranton, PA
- NPI 1023067493
-
- Family Medicine Physician
- Scranton, PA
- NPI 1023069408
-
- Internal Medicine Physician
- State College, PA
- NPI 1093767915
-
- Family Medicine Physician
- Dallas, PA
- NPI 1114223393
-
- Family Medicine Physician
- Scranton, PA
- NPI 1184248668
-
- Family Medicine Physician
- Mountain Top, PA
- NPI 1245330489
-
- Pediatrics Physician
- Montaintop, PA
- NPI 1245355478
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
dba Amedisys Home Health of Bluffton
- Home Health Agency
- Bluffton, SC
- NPI 1215110226
-
dba Enhabit Home Health - Bluffton
- Home Health Agency
- Bluffton, SC
- NPI 1417473398
-
dba Aveanna Home Health
- Home Health Agency
- Hardeeville, SC
- NPI 1821705021
-
dba Novant Health Hilton Head Medical Center
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
-
dba Novant Health Coastal Carolina Hospital
- General Acute Care Hospital
- Hardeeville, SC
- NPI 1205605409
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1902097512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 TERRACE DR",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299365097",
"telephone_number": "843-547-4765",
"fax_number": "843-547-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 TERRACE DR",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299365097",
"telephone_number": "843-547-4765",
"fax_number": "843-547-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMCZYK",
"first_name": "KENNETH",
"middle_name": "HUGH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS013802",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "93632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102173336",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ktomczyk84899@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3 W Olive St",
"city": "Scranton",
"state": "PA",
"country_code": "US",
"postal_code": "185082572",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ridgeland, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.