Individual provider Active NPI

Michael J Thrasher, MD PHD

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1861886608
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN941 Issued in FL
Practice address
1001 W Cherry St Ste a
Kissimmee, FL 34741-4111
Phone
(407) 360-1960
Fax
(407) 360-9146
NPI assigned
Mar 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19017 PR
General Practice Physician 208D00000X ACN941 FL Primary

Addresses

Primary practice location

1001 W Cherry St Ste a
Kissimmee, FL 34741-4111

Mailing address

1001 W Cherry St Ste a
Kissimmee, FL 34741-4111
Phone (407) 360-1960

Other practice location 1

USA Medical Care LLC
1962 North John Young PKWY, FL 34741
Phone (407) 935-0623

Other practice location 2

1430 Mason Ave
Daytona Beach, FL 32117-4551
Phone (386) 274-3906

Other practice location 3

322 N John Young Pkwy
Kissimmee, FL 34741-4902
Phone (407) 944-9355

Other practice location 4

1359 E Osceola Pkwy
Kissimmee, FL 34744-1605
Phone (407) 593-2816

Other identifiers 1

IdentifierTypeStateIssuer
ACN941OtherFLFLORIDA DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190215000736 FL Practitioner - General Practice 8628382017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9421 S Orange Blossom TRL
Suite 19
Orlando, FL 32837-8320
Phone (407) 601-2527

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN941FLMDGeneral Practice Physician
19017PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professionals Caring for Humanity Inc General Practice CurrentSince Oct 23, 2020 Accepting new patients
Magic Medical Group Inc. CurrentSince Oct 23, 2020 Accepting new patients
Sunshine Family & Wellness Center PastSince Nov 21, 2021 Accepting new patients
Town Center Family Medicine LLC PastSince Jul 10, 2012 Accepting new patients

Locations

9421 S Orange Blossom Trl
Ste 19
Orlando, FL 32837
Phone (407) 601-2527

Organizations & group practices 4

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1861886608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W CHERRY ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414111",
            "telephone_number": "407-360-1960",
            "fax_number": "407-360-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W CHERRY ST STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414111",
            "telephone_number": "407-360-1960",
            "fax_number": "407-360-9146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "USA Medical Care LLC",
            "address_purpose": "LOCATION",
            "city": "1962 North John Young PKWY",
            "state": "FL",
            "postal_code": "34741",
            "country_code": "US",
            "telephone_number": "407-935-0623",
            "fax_number": "407-809-5245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 Mason Ave",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321174551",
            "country_code": "US",
            "telephone_number": "386-274-3906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 N John Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414902",
            "country_code": "US",
            "telephone_number": "407-944-9355",
            "fax_number": "407-933-1237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1359 E Osceola Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347441605",
            "country_code": "US",
            "telephone_number": "407-593-2816",
            "fax_number": "407-901-4529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THRASHER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-18",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19017",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ACN941",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.