Thorvasc PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

THORVASC PA

Practice address

2623 Centennial Blvd
Suite 102
Tallahassee, FL 32308-0585

Phone

(850) 792-4722

Fax

(850) 792-4727

NPI assigned

Jan 29, 2015

Last updated

May 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Moses Desmond Degraft-Johnson, MDNPI 1194970475

Title

Owner

Phone

(305) 301-8283

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moses Desmond Degraft-Johnson, M.D.

  • Vascular Surgery Physician
  • Tallahassee, FL
  • NPI 1194970475
  Authorized official Same address or phone
• Jeffrey Shepard Kirk, MD

  • Vascular Surgery Physician
  • Tallahassee, FL
  • NPI 1740449891
  NPD
• Latifa Janice Jalali Degraft-Johnson, M.D.

  • Family Medicine Physician
  • New York, NY
  • NPI 1538111471
  NPD (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495065600000",
    "number": "1831589803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAPITAL CIR SE",
            "address_2": "STE 18148",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013802",
            "telephone_number": "850-792-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 CENTENNIAL BLVD",
            "address_2": "SUITE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080585",
            "telephone_number": "850-792-4722",
            "fax_number": "850-792-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORVASC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2017-05-18",
        "status": "A",
        "authorized_official_last_name": "DEGRAFT-JOHNSON",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "DESMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-301-8283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Bryant Thornton, MS CCC-SLP
• Deja Lekaye Thornton
• Mary Susan Thornton, AU.D
• Mary M Thorsson, CRNA
• Alecia Thorton
• Thoughtwise LLC
• Jennifer Thrasher, M.S. CCC-SLP
• Thrive Therapy
• Thrones Lifestyle LLC (Thrones Lifestyle)
• Wesley Thrower, LMHC, M.S., ED.S.

• Vascular Surgery Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; 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.