MEDICARE: JAMES R THRASHER, M.D., P.A.

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

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952637951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES R THRASHER, M.D., P.A.

Provider Business Mailing Address
First Line	:	11400 HURON LANE
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-1847
Country	:	US
Telephone Number	:	501-666-3666
Fax Number	:	501-666-6836

Provider Business Practice Location Address
First Line	:	11400 HURON LANE
Second Line	:	11400 HURON LANE
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	:	PRESIDENT
Name	:	DR. JAMES RANDALL THRASHER
Credential	:	MD
Telephone Number	:	501-666-3666

Provider Enumeration Date	:	10/26/2009
Last Update Date	:	02/12/2024

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