Individual provider Active NPI

Thomas Joseph Speranger, CRNP

  • Primary Care Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1154840080
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP018206 Issued in PA
Practice address
1456 Ferry Rd Unit 400
Doylestown, PA 18901-2391
Phone
(267) 880-6350
Fax
(267) 880-6592
NPI assigned
Sep 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN668435 PA
Primary Care Nurse Practitioner 363LP2300X SP018206 PA Primary

Addresses

Primary practice location

1456 Ferry Rd Unit 400
Doylestown, PA 18901-2391

Mailing address

1456 Ferry Rd Unit 400
Doylestown, PA 18901-2391

Other names 1

  • Thomas Joseph Shluger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102000365 PA Practitioner - Nurse Practitioner 4082972765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tohickon Internal Medicine, LLCGroup PAC ID 0042492290, 7 clinicians

Practice addresses (Care Compare)

1456 Ferry Rd
Unit 400
Doylestown, PA 18901-2391
Phone (267) 880-6350

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Jamison, PA, CCN 397791
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN668435PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tohickon Internal Medicine CurrentSince Nov 30, 2017 Accepting new patients

Locations

1456 Ferry Rd
Unit 400
Doylestown, PA 18901
Phone (267) 880-6350

Interoperability endpoints

  • Direct secure messaging: thomas.speranger@dhcp.eclinicaldirectplus.com

Organizations & group practices 1

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 6

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1154840080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 FERRY RD UNIT 400",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 FERRY RD UNIT 400",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012391",
            "telephone_number": "267-880-6350",
            "fax_number": "267-880-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERANGER",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN668435",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP018206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "SHLUGER",
            "middle_name": "JOSEPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.