Individual provider Active NPI

Jasmine Thomas, DO

  • Emergency Medicine Physician
  • Warminster, PA
National Provider Identifier
1700044211
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N8861 Issued in TX
Practice address
353 Henry Ave
Warminster, PA 18974-4126
Phone
(215) 682-0344
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X N8861 TX Primary

Addresses

Primary practice location

353 Henry Ave
Warminster, PA 18974-4126

Mailing address

353 Henry Ave
Warminster, PA 18974-4126
Phone (215) 682-0344

Other identifiers 2

IdentifierTypeStateIssuer
8CU562OtherTXBCBS-TX
1700044211OtherTRICARE SOUTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110808000182 TX Practitioner - Emergency Medicine 4284803313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Physicians Group PLLC CurrentSince Mar 1, 2020 Accepting new patients
Round Table Specialist Group, PLLC Emergency Medicine Current Accepting new patients
Fort Bend Emergency Associates PA Emergency Medicine Past Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

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.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1700044211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 HENRY AVE",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744126",
            "telephone_number": "215-682-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 HENRY AVE",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189744126",
            "telephone_number": "215-682-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N8861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-TX",
            "identifier": "8CU562",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1700044211",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

Verify at the official NPI Registry.