MEDICARE: JERRY G THOMAS JR. CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	54616	KS
2	367500000X	Certified Registered Nurse Anesthetist	9355144	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508869785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRY G THOMAS JR. CRNA

Provider Business Mailing Address
First Line	:	3429 57TH AVENUE DR W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34210-3518
Country	:	US
Telephone Number	:	785-243-0454
Fax Number	:

Provider Business Practice Location Address
First Line	:	3429 57TH AVENUE DR W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34210-3518
Country	:	US
Telephone Number	:	785-243-0454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	02/23/2015

Similar Medicare Providers

1093710436 — DR. DENNIS A CORONA D.D.S.
Practice Location Address:

3633 CORTEZ RD W , STE A01
BRADENTON, FL
34210-3100

Practice Phone: 941-753-5857
Practice Fax: 941-753-6186

1740285659 — DR. REBECCA R MATCHOK O.D.
Practice Location Address:

5315 CORTEZ RD W , VISION CENTER
BRADENTON, FL
34210-2814

Practice Phone: 941-761-7373
Practice Fax:

1871599191 — DR. MATTHEW WAYNE KARCHER DC
Practice Location Address:

9612 VALENCIA CV
BRADENTON, FL
34210-1433

Practice Phone: 407-865-1755
Practice Fax:

1124025481 — CAMILO L. CABRERA M.D.
Practice Location Address:

7005 CORTEZ RD W
BRADENTON, FL
34210-2509

Practice Phone: 941-752-2700
Practice Fax: 941-752-2730

1780681049 — SHAHNAZ AHMED M.D.
Practice Location Address:

4401 CORTEZ RD W
BRADENTON, FL
34210-3142

Practice Phone: 941-357-5550
Practice Fax: 941-792-7152

1326045543 — SUGUNA R. KONA M.D.
Practice Location Address:

4502 CORTEZ RD W STE 205
BRADENTON, FL
34210-3124

Practice Phone: 941-259-8505
Practice Fax: 941-792-7152

Directions to “ JERRY G THOMAS JR. CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.