Individual provider Active NPI

Jamie A Thomas, DO

  • Emergency Medicine Physician
  • Bastrop, TX
National Provider Identifier
1114214962
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
V2296 Issued in TX
Practice address
630 W State Highway 71
Bastrop, TX 78602-4282
Phone
(737) 881-7400
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2012025750 MO
Family Medicine Physician 207Q00000X 2011017869 MO
Family Medicine Physician 207Q00000X 2012025750 MO
Emergency Medicine Physician 207P00000X V2296 TX Primary

Addresses

Primary practice location

630 W State Highway 71
Bastrop, TX 78602-4282

Mailing address

630 W State Highway 71
Bastrop, TX 78602-4282

Other practice location 1

3870 Columbia Ave
Osage Beach, MO 65065-8689
Phone (877) 406-2662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240709004534 TX Practitioner - Family Practice 9638394661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess of Nacogdoches LLCGroup PAC ID 3375821630, 27 clinicians

Practice addresses (Care Compare)

1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 564-4611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012025750MOMDEmergency Medicine Physician
V2296TXMDEmergency Medicine Physician
2011017869MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jun 21, 2024 Accepting new patients
Ess of Nacogdoches LLC Emergency Medicine CurrentSince Nov 20, 2025 Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Lincoln County Hospital Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-7400

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1114214962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W STATE HIGHWAY 71",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W STATE HIGHWAY 71",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024282",
            "telephone_number": "737-881-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3870 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Osage Beach",
            "state": "MO",
            "postal_code": "650658689",
            "country_code": "US",
            "telephone_number": "877-406-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAMIE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2012025750",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2011017869",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2012025750",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V2296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.