DR. SHERRYL J. TOMBOULIAN M.D. P.H.D NPI 1003847971

NPI Information

  • NPI: 1003847971
  • Provider Name: DR. SHERRYL J. TOMBOULIAN, M.D., P.H.D
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 205 ORCHARD DR
    SISSETON, SD
    ZIP 57262
  • Phone: (605) 698-7681

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NPI Details

DR. Sherryl J. Tomboulian, M.D., P.H.D is a family medicine in Sisseton, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Sherryl J. Tomboulian, M.D., P.H.D NPI is 1003847971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

205 ORCHARD DR
SISSETON, SD
ZIP 57262-312
Phone: (605) 698-7681
Fax: (605) 698-3493

The NPI 1003847971 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal MedicineA73423CALIFORNIANo
2207Q00000XFamily Medicine49138COLORADONo
3207Q00000XFamily Medicine9632SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1COA104283MEDICARE PINCOLORADO
2COA105899MEDICARE PINCOLORADO
3G97195MEDICARE UPINCALIFORNIA
447480777MEDICAIDCOLORADO
5S110321MEDICARE PINSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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