John Michael Thomassen MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME 95272 Issued in FL

Legal business name

JOHN MICHAEL THOMASSEN MD PA

Practice address

1754 E Commercial Blvd
Oakland Park, FL 33334-5721

Phone

(954) 771-0200

Fax

(954) 208-5171

NPI assigned

Aug 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Michael Thomassen, M.D.NPI 1104835925

Title

President

Phone

(954) 771-0200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Michael Thomassen, M.D.

  • Plastic Surgery Physician
  • Ft Lauderdale, FL
  • NPI 1104835925
  Medicare reassignment NPD Authorized official
• Justin Yovino, M.D.

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1144421801
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1104837509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E COMMERCIAL BLVD",
            "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": "1754 E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333345721",
            "telephone_number": "954-771-0200",
            "fax_number": "954-208-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MICHAEL THOMASSEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "THOMASSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME 95272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rashida Natacha Joemmankhan, P.A.-C.
• Carol Johnson, TT
• Richard Johnson, MD
• John R. Jones, M.D.
• Sara Jones, LCSW
• Stefanie Jorenby, LMHC,MCAP,LPC,CSAC

• Plastic Surgery Physician in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.