Active NPI
John Jerome Tosh, M.D.
- Emergency Medicine Physician
- Thibodaux, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 017777
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1363421 | Medicaid | LA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017777 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thibodaux Regional Network Development Corporation | Emergency Medicine | Current | Accepting new patients |
| Teche Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| C & M Medical Services, Inc. | Current | 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
- 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Metairie, LA
- NPI 1710903059
-
- Emergency Medicine Physician
- Franklin, LA
- NPI 1356658884
-
- Anesthesiology Physician
- Thibodaux, LA
- NPI 1285658310
Emergency Medicine
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Slidell, LA
- NPI 1033293790
-
- Emergency Medicine Physician
- Thibodaux, LA
- NPI 1235390766
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.