Healthcare Provider Details

I. General information

NPI: 1700451234
Provider Name (Legal Business Name): CALEB THRASH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2021
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6885 US HIGHWAY 322
FRANKLIN PA
16323-8000
US

IV. Provider business mailing address

6885 US HIGHWAY 322 SUITE 3
FRANKLIN PA
16323-8000
US

V. Phone/Fax

Practice location:
  • Phone: 814-678-4810
  • Fax: 814-678-4849
Mailing address:
  • Phone: 814-678-4810
  • Fax: 814-678-4849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD492309
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: