Active NPI
John Michael Thomassen, M.D.
- Plastic Surgery Physician
- Ft Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME 95272
- Practice address
- 2800 E Commercial Blvd
Suite 103
Ft Lauderdale, FL 33308-4229 - Phone
- (954) 771-0200
- Fax
- (954) 208-5171
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME 95272 | FL | Primary |
| Plastic Surgery Physician | 208200000X | MD 33673 | DC | |
| Plastic Surgery Physician | 208200000X | 0101231653 | VA |
Addresses
Primary practice location
2800 E Commercial Blvd
Suite 103
Ft Lauderdale, FL 33308-4229
Mailing address
2800 E Commercial Blvd
Suite 103
Ft Lauderdale, FL 33308-4229
Phone (954) 771-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276131900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Puerto Rico School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2800 E Commercial Blvd
Suite 103
Fort Lauderdale, FL 33308-4202
Phone (803) 807-2844
Hospital & facility affiliations
- Holy Cross Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 33673 | DC | MD | Plastic Surgery Physician |
| ME 95272 | FL | MD | Plastic Surgery Physician |
| 0101231653 | VA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Michael Thomassen MD PA | Plastic Surgery | Current | Accepting new patients |
Locations
2800 E Commercial Blvd
Ste 103
Ft Lauderdale, FL 33308
Phone (803) 807-2844
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Oakland Park, FL
- NPI 1104837509
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1104835925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E COMMERCIAL BLVD",
"address_2": "SUITE 103",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084229",
"telephone_number": "954-771-0200",
"fax_number": "954-208-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E COMMERCIAL BLVD",
"address_2": "SUITE 103",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084229",
"telephone_number": "954-771-0200",
"fax_number": "954-208-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMASSEN",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME 95272",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "DC",
"license": "MD 33673",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101231653",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276131900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.