MEDICARE: JAMES RANDALL THRASHER M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	E-1678	AR

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	:	1841250875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES RANDALL THRASHER M.D.

Provider Business Mailing Address
First Line	:	11400 HURON LN
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-1847
Country	:	US
Telephone Number	:	501-666-3666
Fax Number	:	501-907-9069

Provider Business Practice Location Address
First Line	:	11400 HURON LN
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-1847
Country	:	US
Telephone Number	:	501-666-3666
Fax Number	:	501-907-9069

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	02/12/2024

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