JUSTIN TOMAL (NPI# 1093129751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093129751 |
| Entity Type | Individual |
| Full Name | JUSTIN TOMAL |
| Credential | M.D. |
| Practice Address |
1200 Garrity Blvd Nampa ID 83687-3402 |
| Mailing Address |
127 N Oak Ave Ste D Cookeville TN 38501-2435 |
| Practice Telephone | 2083436458 |
| Mailing Telephone | 9317835857 |
| Mailing Fax Number | 9315266760 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125065349 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
M-15090 | ID | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 55672 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1211 Medical Center Dr, Nashville, TN 372321447 | 6153225000 | |
| 1 Medical Center Blvd, Cookeville, TN 385014294 | 9317832770 | 9315251176 |
| Street Address |
1200 GARRITY BLVD |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366492084 | Saint Alphonsus Physician Services Inc | Nurse Practitioner | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2006-05-11 |
| 1417289729 | Saint Alphonsus Regional Medical Center Inc | Clinic/Center | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2010-02-11 |
| 1700010873 | Erin M Mccoy | Internal Medicine | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2009-05-05 |
| 1275737819 | Saint Alphonsus Physician Services Inc | Clinic/Center | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164515276 | Healing Arts Day Surgery LLC | Internal Medicine | 222 W Iowa Ave Ste B, Suite B, Nampa, ID 83686-6814 | 2006-10-02 |
| 1194817023 | Treasure Valley Gastroenterology Specialists Inc | Internal Medicine | 222 W Iowa Ave, Suite A, Nampa, ID 83686-6813 | 2006-09-28 |
| 1164525853 | Raquel Croitoru | Internal Medicine | 222 W Iowa Ave Ste A, Nampa, ID 83686-6814 | 2006-09-07 |
| 1891310561 | Digestive Health Clinic LLC | Internal Medicine | 5080 E Commerce St, Nampa, ID 83687-5513 | 2020-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649516212 | Theodore Weldon Bohlman | Internal Medicine | 8820 Stewart Rd, Meridian, ID 83642-7226 | 2012-12-29 |
| 1679890057 | Walter W Hair | Internal Medicine | 1402 N Promontory Rd, Boise, ID 83702-3040 | 2010-04-26 |
| 1659492809 | Bruce R Croffy | Internal Medicine | 3000 E Pine Ave, Meridian, ID 83642-5995 | 2007-04-03 |
| 1598843039 | Judith Erika Csanky | Internal Medicine | 1411 Falls Ave E Ste 1151, Twin Falls, ID 83301-3455 | 2006-11-01 |
| 1235211582 | George Christopher Kutteruf | Internal Medicine | 1607 Lincoln Way, Suite 200, Coeur D Alene, ID 83814-2476 | 2006-10-19 |
| 1740386432 | John Carl Morgenstern | Internal Medicine | 1630 23rd Ave Ste 701, Lewiston, ID 83501-6345 | 2006-09-16 |
| 1295754265 | Southeast Idaho Gastroenterology,pllc | Internal Medicine | 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 | 2006-07-19 |
| 1184619165 | Paul H Baehr | Internal Medicine | 425 W Bannock St, Boise, ID 83702-6035 | 2005-09-15 |
| 1962495283 | Harold G Preiksaitis | Internal Medicine | 1607 Lincoln Way Ste 200, Coeur D Alene, ID 83814-2476 | 2005-08-23 |
| 1295738797 | Eric A Wingerson | Internal Medicine | 1995 E 17th St, St. #4, Idaho Falls, ID 83404-6493 | 2005-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.