Provider Demographics
NPI:1417985763
Name:TOMEY, MICHAEL L (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:L
Last Name:TOMEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3731 NW CARY PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8436
Mailing Address - Country:US
Mailing Address - Phone:919-460-6088
Mailing Address - Fax:919-460-6048
Practice Address - Street 1:3731 NW CARY PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8436
Practice Address - Country:US
Practice Address - Phone:919-460-6088
Practice Address - Fax:919-460-6048
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC428213ES0103X, 213ES0131X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8908036Medicaid
NC1396016978OtherFACILITY NPI NUMBER
NC2433411BMedicare ID - Type Unspecified
U75607Medicare UPIN