Active NPI
Jeremy Brian Toms
- Anesthesiology Physician
- Louisville, KY
National Provider Identifier
1154322618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00044648
- Practice address
- 400 Blankenbaker Pkwy Ste 301
Louisville, KY 40243-1895 - Phone
- (800) 928-9036
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A90623 | CA | |
| Anesthesiology Physician | 207L00000X | MD00044648 | WA | Primary |
Addresses
Primary practice location
400 Blankenbaker Pkwy Ste 301
Louisville, KY 40243-1895
Mailing address
400 Blankenbaker Pkwy Ste 301
Louisville, KY 40243-1895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90623 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1154322618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BLANKENBAKER PKWY STE 301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BLANKENBAKER PKWY STE 301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431895",
"telephone_number": "800-928-9036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMS",
"first_name": "JEREMY",
"middle_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A90623",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00044648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.