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NPI Code Detail

MEDICARE: DR. JASON C TOMPKINS MD

MEDICARE:  DR. JASON C TOMPKINS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician4301083277MI
2207RI0200XInfectious Disease Physician64047WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
127-0381199OTHERMIGROUP TAX ID
2P00874046OTHERMIRR MEDCIARE
30801109021OTHERMIBCBS PIN
41538397120OTHERMIGROUP NPI
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336177864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON C TOMPKINS MD
Provider Business Mailing Address
First Line : 1000 N OAK AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-5703
Country : US
Telephone Number : 715-387-5511
Fax Number :
Provider Business Practice Location Address
First Line : 31 N SAINT JOSEPH AVE
Second Line :
City : NILES
State : MI
Zip : 49120-2207
Country : US
Telephone Number : 269-687-5510
Fax Number : 269-684-0189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 03/07/2023

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Directions to “ DR. JASON C TOMPKINS MD” Practice Location

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