Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35.120287 | OH |
N | 207YP0228X | Pediatric Otolaryngology | 39311 | CO |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35.120287 | OH |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 39311 | CO |
NPI | 1275605206 |
---|---|
Provider Name | Sharon Marie Tomaski |
First Address | El Dorado, AR 71730-4425 |
Second Address | El Dorado, AR 71730-4425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 12/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0074130 | (05) | OH |
3810024380 | (05) | WV |
85882046 | (05) | CO |
H10554 | (02) | CO |
P01262055 | RAILROAD MEDICARE - MHCPI (01) | OH |