THORVASC PA – NPI #1831589803
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

THORVASC PA is a surgeon located in TALLAHASSEE, FL. NPPES has assigned the NPI number 1831589803 to THORVASC PA on January 29, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 9 years ago on May 18, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THORVASC PA below.

NPI Profile for
THORVASC PA

NPI Number
1831589803
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THORVASC PA
Primary location
2623 CENTENNIAL BLVD
SUITE 102
TALLAHASSEE, FL 32308-0585
Phone: (850) 792-4722 Fax: (850) 792-4727
Mailing address
400 CAPITAL CIR SE
STE 18148
TALLAHASSEE, FL 32301-3802
Phone: (850) 792-4722 Fax:
Organization Subpart
No
Authorized Official
MOSES DEGRAFT-JOHNSON
OWNER
Phone: (305) 301-8283
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.