MEDICARE: TRISHA J TOMKINS 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
1	207VG0400X	Gynecology Physician	ME177592	FL

General Provider Information

NPI Number	:	1518329317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA J TOMKINS MD

Provider Business Mailing Address
First Line	:	307 BOATNER RD STE 114
Second Line	:
City	:	EGLIN AFB
State	:	FL
Zip	:	32542-1302
Country	:	US
Telephone Number	:	850-883-8600
Fax Number	:

Provider Business Practice Location Address
First Line	:	14651 W UPRIGHT ST
Second Line	:
City	:	CHARLEVOIX
State	:	MI
Zip	:	49720-1266
Country	:	US
Telephone Number	:	231-547-4477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	12/15/2025

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