Provider Demographics
NPI:1083666135
Name:TOMSKI, STEVEN MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MICHAEL
Last Name:TOMSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37662-0009
Mailing Address - Country:US
Mailing Address - Phone:423-857-2066
Mailing Address - Fax:423-390-3340
Practice Address - Street 1:240 MEDICAL PARK BLVD STE 2000
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-7346
Practice Address - Country:US
Practice Address - Phone:423-990-5495
Practice Address - Fax:423-990-2492
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700409207RC0200X, 207RP1001X, 207RS0012X
TN28847207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA261789OtherANTHEM
TN4005301OtherBLUE CROSS BLUE SHIELD
TN5090753OtherAETNA
NC1028LOtherBCBS NC
NC3774897OtherCIGNA
TN1466035OtherUNITED HEALTHCARE
TN3861871Medicaid
TN4005301OtherBLUE CROSS BLUE SHIELD
G45435Medicare UPIN
TN5090753OtherAETNA
TN3861871Medicaid