Active NPI
Henry Louis Tomlin, M.D.
- Obstetrics & Gynecology Physician
- Petersburg, VA
National Provider Identifier
1992736698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101029081
- Practice address
- 600 S Sycamore St
Petersburg, VA 23803-5815 - Phone
- (804) 732-0136
- Fax
- (804) 861-9661
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101029081 | VA | Primary |
Addresses
Primary practice location
600 S Sycamore St
Petersburg, VA 23803-5815
Mailing address
600 S Sycamore St
Petersburg, VA 23803-5815
Phone (804) 732-0136
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 541601754 | Other | VA | INSURANCE - ALL OTHERS |
| 006259618 | Medicaid | VA | |
| 212033 | Other | VA | INSURANCE - CIGNA |
| 213198 | Other | VA | INSURANCE - OPTIMUM/MDIPA |
| 070725 | Other | VA | INSURANCE - ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside OB-GYN, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/12360/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1992736698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S SYCAMORE ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238035815",
"telephone_number": "804-732-0136",
"fax_number": "804-861-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S SYCAMORE ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238035815",
"telephone_number": "804-732-0136",
"fax_number": "804-861-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLIN",
"first_name": "HENRY",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101029081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE - ALL OTHERS",
"identifier": "541601754",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006259618",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE - CIGNA",
"identifier": "212033",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE - OPTIMUM/MDIPA",
"identifier": "213198",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE - ANTHEM",
"identifier": "070725",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.