Individual
JASON C THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5238
(740) 441-8058
Mailing address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-7540
(740) 779-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
54566
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
NA05455
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198573
ANTHEM BCBS
—
01
—
000000204810
OH MEDICAID UNISON
OH
01
—
001714119
MOUNTAIN STATE BCBS
—
01
—
2239769
MOLINA MEDICAID #
OH
05
—
2239769
—
OH
01
—
430055401
RR MEDICARE
OH
05
—
5710266000
—
WV
Enumeration date
06/14/2006
Last updated
12/28/2020
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