Individual provider Active NPI

Jerry G Thomas Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Bradenton, FL
National Provider Identifier
1508869785
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9355144 Issued in FL
Practice address
3429 57TH Avenue Dr W
Bradenton, FL 34210-3518
Phone
(785) 243-0454
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 54616 KS
Certified Registered Nurse Anesthetist 367500000X 9355144 FL Primary

Addresses

Primary practice location

3429 57TH Avenue Dr W
Bradenton, FL 34210-3518

Mailing address

3429 57TH Avenue Dr W
Bradenton, FL 34210-3518
Phone (785) 243-0454

Other identifiers 1

IdentifierTypeStateIssuer
100331300GMedicaidKS

Other names 1

  • Jay G Thomas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150602000679 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971824004 Reassigns benefits to 3 organizations
I20160822000343 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971824004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shreveport Sedation Associates, LLCGroup PAC ID 3173886736, 10 clinicians

Practice addresses (Care Compare)

3217 Mabel St
Shreveport, LA 71103-4022
Phone (318) 631-9121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9355144FLMDCertified Registered Nurse Anesthetist
54616KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Services of Manatee LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 27, 2015 Accepting new patients
Shreveport Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 25, 2018 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 17, 2020 Accepting new patients
Serenity Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2016 Accepting new patients
Spartan Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince May 1, 2015 Accepting new patients
Midwest Pain Management Center PA Past Accepting new patients
Kansas University Physicians Inc PastSince Sep 17, 2017 Accepting new patients
Central Kansas Anesthesia PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Kansas Professional Anesthesia and Pain Management Specialists, P.a. PastSince May 14, 2001 Accepting new patients

Locations

3220 N St NW
Washington, DC 20007
Phone (202) 338-6051

5817 21st Ave W
Bradenton, FL 34209
Phone (941) 794-0379

2800 Bahia Vista St
Ste 300
Sarasota, FL 34239
Phone (941) 306-3166

600 N Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 234-0498

3217 Mabel St
Shreveport, LA 71103

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1508869785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 57TH AVENUE DR W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103518",
            "telephone_number": "785-243-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 57TH AVENUE DR W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103518",
            "telephone_number": "785-243-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JERRY",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "54616",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9355144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100331300G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "THOMAS",
            "middle_name": "G",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.