Active NPI
Ken Lee Thrasher, MD
- Anesthesiology Physician
- Pasadena, TX
National Provider Identifier
1124058649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J7290
- Practice address
- 4301 Vista Rd BLDG a
Pasadena, TX 77504-2117 - Phone
- (713) 378-3066
- Fax
- (713) 378-3077
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J7290 | TX | Primary |
Addresses
Primary practice location
4301 Vista Rd BLDG a
Pasadena, TX 77504-2117
Mailing address
PO Box 5607
Pasadena, TX 77508-5607
Phone (713) 378-3066
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040147301 | Medicaid | TX | |
| 82184F | Other | TX | BC/BS |
| 0046CC | Other | TX | MEDICARE RPK GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akai Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| RPK Anesthesia PA | Anesthesiology | Past | Accepting new patients |
| Pasadena Pain Management Consultants, PA. | Past | Accepting new patients |
Locations
1246 N FM 3083 Rd W
Ste A
Conroe, TX 77304
Phone (936) 441-2233
8524 Highway 6 N
Houston, TX 77095
Phone (281) 763-2196
26710 N Freeway
Ste B100
The Woodlands, TX 77386
Phone (281) 369-9001
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Conroe, TX
- NPI 1558908939
-
- Interventional Pain Medicine Physician
- Pasadena, TX
- NPI 1760566749
-
- Anesthesiology Physician
- Pasadena, TX
- NPI 1679657654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1124058649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5607",
"city": "PASADENA",
"state": "TX",
"postal_code": "775085607",
"telephone_number": "713-378-3066",
"fax_number": "713-378-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 VISTA RD BLDG A",
"city": "PASADENA",
"state": "TX",
"postal_code": "775042117",
"telephone_number": "713-378-3066",
"fax_number": "713-378-3077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRASHER",
"first_name": "KEN",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J7290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040147301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "82184F",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RPK GROUP #",
"identifier": "0046CC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.