Active NPI
Jerry G Thomas Jr., CRNA
- Certified Registered Nurse Anesthetist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9355144
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100331300G | Medicaid | KS |
Other names 1
- Jay G Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, LA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9355144 | FL | MD | Certified Registered Nurse Anesthetist |
| 54616 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services of Manatee LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Shreveport Sedation Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Serenity Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Spartan Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midwest Pain Management Center PA | Past | Accepting new patients | |
| Kansas University Physicians Inc | Past | Accepting new patients | |
| Central Kansas Anesthesia PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Kansas Professional Anesthesia and Pain Management Specialists, P.a. | Past | 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.
-
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1770083164
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
LA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bradenton, FL
- NPI 1699153064
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1093003535
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1710975636
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Great Bend, KS
- NPI 1497723225
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1710967211
-
dba KU Anesthesiology
- Anesthesiology Physician
- Kansas City, KS
- NPI 1750459657
-
- Anesthesiology Physician
- Hutchinson, KS
- NPI 1396712485
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.