Individual provider Active NPI

Dennis L Thrasher, MD

  • Occupational Medicine Physician
  • Tucson, AZ
National Provider Identifier
1861451379
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
14136 Issued in AZ
Practice address
3681 S Palo Verde Rd
Tucson, AZ 85713-5428
Phone
(520) 750-8855
Fax
(520) 750-9703
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 14136 AZ Primary

Addresses

Primary practice location

3681 S Palo Verde Rd
Tucson, AZ 85713-5428

Mailing address

3681 S Palo Verde Rd
Tucson, AZ 85713-5428
Phone (520) 750-8855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005001271 AZ Practitioner - General PracticePractitioner - Preventive Medicine 3375568694 Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Preventive Medicine
Education
University of Arizona College of Medicine, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3681 S Palo Verde
Tucson, AZ 85713-5428
Phone (520) 750-8855

3681 S Palo Verde Rd
Tucson, AZ 85713-5428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14136AZMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Medicenter PC Current Accepting new patients

Locations

3681 S Palo Verde Rd
Tucson, AZ 85713
Phone (520) 750-8855

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1861451379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 S PALO VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135428",
            "telephone_number": "520-750-8855",
            "fax_number": "520-750-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 S PALO VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135428",
            "telephone_number": "520-750-8855",
            "fax_number": "520-750-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASHER",
        "first_name": "DENNIS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AZ",
            "license": "14136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.