Terry Thrasher D.O. Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

106165 Issued in MO

Legal business name

TERRY THRASHER D.O. CLINIC

Practice address

630 N Morley St
Moberly, MO 65270-2556

Phone

(660) 263-5787

Fax

(660) 263-5860

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Janet L Gravitt

Title

Office Manager

Phone

(660) 263-5787

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750325585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N MORLEY ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702556",
            "telephone_number": "660-263-5787",
            "fax_number": "660-263-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N MORLEY ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702556",
            "telephone_number": "660-263-5787",
            "fax_number": "660-263-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY THRASHER D.O. CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVITT",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-263-5787"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "106165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH CLINIC #",
            "identifier": "26-8949",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian S Tadrus, PHARM.D.
• Salim S Tadrus, RPH
• Linda Lou Taylor, L.P.C.
• TB Anesthesia Associates
• Stefanie Alynn Tellman, OTRL
• Terry Thrasher,D.O.
• Ian Thacker
• Theratree SLP, LLC
• Angela Beth Thomas, NP
• Letrisha Ann Thomas, D.D.S.

• Primary Care Clinic/Center in Moberly, MO
• Providers in Moberly, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.