Provider Demographics
NPI:1952637951
Name:JAMES R THRASHER, M.D., P.A.
Entity Type:Organization
Organization Name:JAMES R THRASHER, M.D., P.A.
Other - Org Name:JAMES R THRASHER MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:THRASHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-666-3666
Mailing Address - Street 1:11400 HURON LANE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-1847
Mailing Address - Country:US
Mailing Address - Phone:501-666-3666
Mailing Address - Fax:501-666-6836
Practice Address - Street 1:11400 HURON LANE
Practice Address - Street 2:11400 HURON LANE
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-1847
Practice Address - Country:US
Practice Address - Phone:501-666-3666
Practice Address - Fax:501-907-9069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR136677001Medicaid
AR148127002Medicaid