Individual provider Active NPI

John Jerome Tosh, M.D.

  • Emergency Medicine Physician
  • Thibodaux, LA
National Provider Identifier
1023042736
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
017777 Issued in LA
Practice address
602 N Acadia Rd
Thibodaux, LA 70301-4847
Phone
(504) 837-8000
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 017777 LA Primary

Addresses

Primary practice location

602 N Acadia Rd
Thibodaux, LA 70301-4847

Mailing address

PO Box 606
Metairie, LA 70004-0606
Phone (504) 837-8000

Other practice location 1

135 Highway 402
Napoleonville, LA 70390-2217
Phone (985) 369-4250

Other identifiers 1

IdentifierTypeStateIssuer
1363421MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jtosh14853@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000464 LA Practitioner - Emergency Medicine 7113086745 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017777LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Emergency Medicine Current Accepting new patients
Teche Emergency Group LLC Emergency Medicine CurrentSince Sep 15, 2012 Accepting new patients
C & M Medical Services, Inc. CurrentSince Nov 1, 2012 Accepting new patients
Louisiana Em-1 Medical Services, PC Emergency Medicine Past Accepting new patients
Lee Robert Domangue, M.D., a Professional Medical Corporation Emergency Medicine Past Accepting new patients

Locations

1097 Northwest Blvd
Franklin, LA 70538
Phone (337) 355-1269

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

Interoperability endpoints

  • Direct secure messaging: jtosh14853@direct.casso.us.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1023042736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700040606",
            "telephone_number": "504-837-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014847",
            "telephone_number": "504-837-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Highway 402",
            "address_purpose": "LOCATION",
            "city": "Napoleonville",
            "state": "LA",
            "postal_code": "703902217",
            "country_code": "US",
            "telephone_number": "985-369-4250",
            "fax_number": "985-369-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOSH",
        "first_name": "JOHN",
        "middle_name": "JEROME",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "017777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1363421",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtosh14853@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jtosh14853@direct.casso.us.com",
            "address_1": "135 Highway 402",
            "city": "Napoleonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703902217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "135 Highway 402",
            "city": "Napoleonville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703902217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.