Active NPI
Gregory S Thomas, CRNA
- Certified Registered Nurse Anesthetist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA684
- Practice address
- 111 W State St
Boise, ID 83702-6127 - Phone
- (208) 336-0895
- Fax
- (208) 338-1796
- NPI assigned
- Mar 15, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA684 | ID | Primary |
Addresses
Primary practice location
111 W State St
Boise, ID 83702-6127
Mailing address
111 W State St
Boise, ID 83702-6127
Phone (208) 336-0895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
65 N Gateway Dr
Suite 3
Providence, UT 84332-6102
Phone (435) 535-3257
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA684 | ID | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mt Ogden Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Boise, P.a. | Past | Accepting new patients |
Locations
65 N Gateway Dr
Ste 3
Providence, UT 84332
Phone (435) 213-6563
560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600
4364 Washington Blvd
South Ogden, UT 84403
Phone (801) 224-6767
161 W 200 N
Ste 105
St George, UT 84770
Phone (435) 216-7063
Interoperability endpoints
- gregory.thomas.1@17373.direct.athenahealth.com
Organizations & group practices 3
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
- Providence, UT
- NPI 1992516579
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ogden, UT
- NPI 1770999807
Nurse Anesthetist, Certified Registered
-
- Specialist
- Boise, ID
- NPI 1033147467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679607303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026127",
"telephone_number": "208-336-0895",
"fax_number": "208-338-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026127",
"telephone_number": "208-336-0895",
"fax_number": "208-338-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "GREGORY",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "RNA684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.