NPIMap

Individual provider Active NPI

Connie Ruth J Tomada, M.D.

  • Internal Medicine Physician
  • Silverdale, WA
National Provider Identifier
1982724944
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60036801 Issued in WA
Practice address
9951 Mickelberry Rd NW Ste 119
Silverdale, WA 98383-8309
Phone
(360) 447-8642
Fax
(360) 291-9892
NPI assigned
Mar 30, 2007
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60036801 WA Primary

Addresses

Primary practice location

9951 Mickelberry Rd NW Ste 119
Silverdale, WA 98383-8309

Mailing address

9951 Mickelberry Rd NW Ste 119
Silverdale, WA 98383-8309
Phone (360) 447-8642

Other names 1

  • Connie Ruth G Jimenez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000115 WA Practitioner - Internal Medicine 9638223795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

22180 Olympic College Way NW
Suite 102
Poulsbo, WA 98370-6664
Phone (360) 779-4444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60036801WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Jul 2, 2017 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Harrison Medical Center Past Accepting new patients
Yakima Hma Physician Management LLC Internal Medicine Past Accepting new patients

Locations

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

22180 Olympic College Way NW
Ste 102
Poulsbo, WA 98370
Phone (360) 779-4444

9633 Levin Rd NW
Ste 103
Silverdale, WA 98383
Phone (360) 337-8200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: ctomada61704@fhsce.catholichealth.net

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1982724944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW STE 119",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838309",
            "telephone_number": "360-447-8642",
            "fax_number": "360-291-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW STE 119",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838309",
            "telephone_number": "360-447-8642",
            "fax_number": "360-291-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMADA",
        "first_name": "CONNIE RUTH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60036801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE RUTH",
            "last_name": "JIMENEZ",
            "middle_name": "G",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.