Provider Demographics
NPI:1467552315
Name:TONKOVICH, MARGARET A (NP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:A
Last Name:TONKOVICH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 FRANTZ RD
Mailing Address - Street 2:STE 360
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4134
Mailing Address - Country:US
Mailing Address - Phone:614-544-6155
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:542 W UNION ST STE B
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-8300
Practice Address - Country:US
Practice Address - Phone:740-594-4722
Practice Address - Fax:740-594-2432
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.00440-NP363L00000X
OHAPRN.CNP.00440363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2469289Medicaid
OH2033941Medicare PIN
OHNP08522Medicare PIN
OHP37524Medicare UPIN