Active NPI
Jeremy D Thomas, D.O.
- Orthopaedic Surgery Physician
- Claremore, OK
National Provider Identifier
1386670081
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Feb 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 4495
- Practice address
- 1501 N Florence Ave
Suite 350
Claremore, OK 74017-3179 - Phone
- (918) 343-8574
- Fax
- (918) 343-8575
- NPI assigned
- Jun 24, 2006
- Last updated
- Apr 30, 2014
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 4495 | OK | Primary |
Addresses
Primary practice location
1501 N Florence Ave
Suite 350
Claremore, OK 74017-3179
Mailing address
1501 N Florence
Suite 350
Claremore, OK 74017-3275
Phone (918) 343-8574
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200197750A | Medicaid | OK | |
| 11556854 | Other | CAQH |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4495 | OK | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claremore Physicians LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Claremore, OK
- NPI 1982692216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1386670081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N FLORENCE",
"address_2": "SUITE 350",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740173275",
"telephone_number": "918-343-8574",
"fax_number": "918-343-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N FLORENCE AVE",
"address_2": "SUITE 350",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740173179",
"telephone_number": "918-343-8574",
"fax_number": "918-343-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JEREMY",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "4495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200197750A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11556854",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.