DR. THOMAS RICHARD DEGRAFF III D.O. NPI 1003002510

General Practice in Little Rock, AR

About THOMAS DEGRAFF

Thomas Degraff is a provider in Little Rock, AR with more than 11 years of experience. The NPI number assigned to this provider is 1003002510. The practitioner's primary taxonomy code is General Practice (208D00000X). The provider is registered as an individual and their NPI record was last updated 0 years ago. Thomas Degraff is registered with Medicare and accepts claims assignment.

NPI

1003002510

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. THOMAS RICHARD DEGRAFF III D.O.
Provider Location Address801 S BOWMAN RD STE 4 LITTLE ROCK, AR 72211 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address801 S BOWMAN RD STE 4 LITTLE ROCK, AR 72211 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-18-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-20-2018 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. THOMAS RICHARD DEGRAFF III D.O.
801 S BOWMAN RD STE 4
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 246-3423
Fax: (501) 246-3956
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Mailing Address

DR. THOMAS RICHARD DEGRAFF III D.O.
801 S BOWMAN RD STE 4
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 246-3423
Fax: (501) 246-3956

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace MedicineA141807NMNo

Taxonomy Description: aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

Map Location


DR. THOMAS RICHARD DEGRAFF III D.O. address is 801 S BOWMAN RD STE 4 LITTLE ROCK, AR 72211

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538610316 SHARONDA SMARJESSE P.A.
Individual
Physician Assistant801 S BOWMAN RD STE 4
LITTLE ROCK, AR 72211
(501) 246-3423
Previous NPI
1003002502
Next NPI
1003002528