Provider Demographics
NPI:1437252962
Name:THRASHER, PATRICK DONNALLY (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:DONNALLY
Last Name:THRASHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 E MAIN ST STE 801
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2232
Mailing Address - Country:US
Mailing Address - Phone:757-455-5655
Mailing Address - Fax:757-455-5644
Practice Address - Street 1:555 E MAIN ST STE 801
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2232
Practice Address - Country:US
Practice Address - Phone:757-455-5655
Practice Address - Fax:757-455-5644
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2020-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010297762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B07356Medicare UPIN
VA260002580Medicare ID - Type Unspecified