Healthcare Provider Details

I. General information

NPI: 1962896159
Provider Name (Legal Business Name): KATHLEEN MARIE TOMPKINS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 09/09/2026
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 5TH AVE BLDG SUITE700
PITTSBURGH PA
15213-3403
US

IV. Provider business mailing address

3601 5TH AVE BLDG SUITE700
PITTSBURGH PA
15213-3403
US

V. Phone/Fax

Practice location:
  • Phone: 919-216-0227
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2018-01715
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberTM2022-1384
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD477170
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number2018-01715
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: