Provider Demographics
NPI:1821252834
Name:PATRICK D. THRASHER, M.D. PC
Entity Type:Organization
Organization Name:PATRICK D. THRASHER, M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:DONNALLY
Authorized Official - Last Name:THRASHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-455-5655
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2020-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010297762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101029776OtherLICENSE