Organization Active NPI

Joseph Richard Thomasson III MD LLC

  • Surgery Physician
  • Tullahoma, TN
National Provider Identifier
1407305873
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD0000049357 Issued in TN
Legal business name
JOSEPH RICHARD THOMASSON III MD LLC
Practice address
1750 Cedar LN
Suite 100
Tullahoma, TN 37388-4759
Phone
(931) 455-7779
Fax
(931) 454-2376
NPI assigned
Sep 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Joseph Richard Thomasson III, M.D.
Title
Ceo
Phone
(931) 455-7779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD0000049357 TN Primary

Addresses

Primary practice location

1750 Cedar LN
Suite 100
Tullahoma, TN 37388-4759

Mailing address

1750 Cedar LN
Suite 100
Tullahoma, TN 37388-4759
Phone (931) 455-7779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1407305873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 CEDAR LN",
            "address_2": "SUITE 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884759",
            "telephone_number": "931-455-7779",
            "fax_number": "931-454-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 CEDAR LN",
            "address_2": "SUITE 100",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884759",
            "telephone_number": "931-455-7779",
            "fax_number": "931-454-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH RICHARD THOMASSON III MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "THOMASSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-455-7779",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD0000049357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.