Active NPI
Ivan Tomek MD PLLC
- Adult Reconstructive Orthopaedic Surgery Physician
- Williston, VT
National Provider Identifier
1972476174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- Legal business name
- IVAN TOMEK MD PLLC
- Practice address
- 426 Industrial Ave Ste 130
Williston, VT 05495-4449 - Phone
- (802) 698-3762
- NPI assigned
- Sep 25, 2025
- Last updated
- Mar 17, 2026
- 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. Ivan Tomek, MD
- Title
- Manager
- Phone
- (603) 236-9867
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | Primary |
Addresses
Primary practice location
426 Industrial Ave Ste 130
Williston, VT 05495-4449
Mailing address
426 Industrial Ave Ste 130
Williston, VT 05495-4449
Phone (802) 755-7171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physician Assistant
- Burlington, VT
- NPI 1881091353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1972476174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 INDUSTRIAL AVE STE 130",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054954449",
"telephone_number": "802-755-7171",
"fax_number": "802-755-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 INDUSTRIAL AVE STE 130",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054954449",
"telephone_number": "802-698-3762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVAN TOMEK MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-25",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "TOMEK",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "603-236-9867",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williston, VT
- Hummingbird Integrative Mental Wellness Initiative
- Garret H Huyer, RPH
- Ini PC (Precision Chiropractic)
- Inspired Woodman Health & Human Services Institute (INSPIRED CONSCIOUSNESS Institute)
- Interventional Spine of Vermont, PLLC
- Courtney Lynn Iverson, DPT
- Pamela Lee Jackson, M.D.
- Kramer Jakubek, PT, DPT, CSCS
- Jacqueline Jancaitis, DPT
- Callan Janowiec, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.