Provider Demographics
NPI:1982607552
Name:TUOMANEN, ELAINE I (MD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:I
Last Name:TUOMANEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 DANNY THOMAS PL
Mailing Address - Street 2:MS 0515
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-3678
Mailing Address - Country:US
Mailing Address - Phone:901-595-3006
Mailing Address - Fax:901-595-3842
Practice Address - Street 1:262 DANNY THOMAS PL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-3678
Practice Address - Country:US
Practice Address - Phone:901-595-3006
Practice Address - Fax:901-595-3842
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN296392080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00118793Medicaid
IA0527754Medicaid
TX060519801Medicaid
NJ5329701Medicaid
OK100000970AMedicaid
AL009933671Medicaid
WY1135236 00Medicaid
IL013403095-2Medicaid
IN200179320AMedicaid
ME422400000Medicaid
AR132792001Medicaid
MO208932301Medicaid
LA1429805Medicaid
TN3819997Medicaid
KY64712680Medicaid
NJ5329701Medicaid