DR. JEAN ELENA TOMEZSKO


Address: 4 Prince Eugene Ln, Media, PA 19063-5211
Phone: 6105652989

DR. JEAN ELENA TOMEZSKO (NPI# 1043543770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043543770
Entity Type Individual
Full Name DR. JEAN ELENA TOMEZSKO
Credential PHD, RD, LDN
Practice Address 4 Prince Eugene Ln
Media
PA 19063-5211
Practice Telephone 6105652989
Mailing Telephone 6105652989
Enumeration Date 2009-09-14
Last Update Date 2009-09-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
719831 Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
REGISTERED DIETITIAN 719831 01
PA LICENSED DIETITIAN-NUTRITIONIST DN001051 01

Office Location

Street Address 4 PRINCE EUGENE LN
City MEDIA
State PA
Zip Code 19063-5211

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Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902403694 Children's Hospital of Philadelphia Dietitian, Registered 817 E Baltimore Pike Ste A, Kennett Square, PA 19348-1929 2020-10-06
1073141214 Jessica Esochaghi Enekwogu Dietitian, Registered 6160 Springford Dr Apt D4, Harrisburg, PA 17111-6994 2020-04-01
1598396855 Heidi Herr Kecskemethy Dietitian, Registered 515 S Providence Rd, Wallingford, PA 19086-6938 2020-01-27
1518471697 Carly Clark Dietitian, Registered 1267 Norberry Ct Apt 36, Cranberry Township, PA 16066-5117 2017-11-28
1578970638 Wendi Connelly Dietitian, Registered 370 Waterhouse Rd, Cambridge Springs, PA 16403-9120 2014-07-21
1609022284 Kristine Lewis Dietitian, Registered 1145 N Mayfield Dr, Clarion, PA 16214-6149 2008-08-14
1861440307 Valinda Lee Baldwin Dietitian, Registered 6945 U.S. Route 322, Suite 640 Cranberry Mall, Cranberry, PA 16319 2006-05-05
1700390010 Sherry Zalewski Thrash Dietitian, Registered 500 University Dr, Hershey, PA 17033-2360 2017-11-22
1912430026 Michael Nornhold II Dietitian, Registered 100 N Academy Ave, Danville, PA 17822-9800 2017-04-05
1174973440 Dorie Ellen Obertello Dietitian, Registered 160 E Erie Ave, Department of Clinical Nutrition, Philadelphia, PA 19134-1011 2016-06-17
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Competitor

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City MEDIA
Zip Code 19063

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Dataset Information

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.

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