DR. DAVID O THAYER (NPI# 1184838732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184838732 |
| Entity Type | Individual |
| Full Name | DR. DAVID O THAYER |
| Credential | M.D. |
| Practice Address |
1155 Alpine Ave Ste 230 Boulder CO 80304-3407 |
| Practice Telephone | 3034432010 |
| Practice Fax Number | 3034437882 |
| Mailing Telephone | 3034406340 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
27055 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01270552 | 05 | |
| CO | BCBS | 44936 | 01 |
| UNITED HEALTH CARE PPO | P206540 | 01 | |
| CO | PACIFICARE | 84146344501 | 01 |
| AMERICAN MEDICAL SECURITY | P841463445 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508926338 | David Thayer | Durable Medical Equipment & Medical Supplies | 1075 Se Baseline St, Hillsboro, OR 97123-4394 | 2006-12-11 |
| 1508871344 | David L Thayer | Psychologist | 821 W South St, Suite D, Kalamazoo, MI 49007-4684 | 2006-07-30 |
| 1689642951 | David M Thayer | Chiropractor | 340 S Fillmore St, Edwardsville, IL 62025-2115 | 2006-03-10 |
| 1871936419 | David A Thayer | Radiology | 801 S Stevens St, Spokane, WA 99204 | 2013-04-13 |
| 1871687939 | David Thayer Jr. | Nurse Practitioner | 775 N Main St, Winterport, ME 04496-3414 | 2006-10-03 |
| 1881621597 | David Thayer | Social Worker | 520 Hope St, Providence, RI 02906-2532 | 2006-06-27 |
| Street Address |
1155 ALPINE AVE STE 230 |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912085952 | Ann Louise Mattson | Obstetrics & Gynecology | 119 Ucb, Boulder, CO 80309-0119 | 2006-11-01 |
| 1205942422 | Mary A Macsalka | Obstetrics & Gynecology | 4745 Arapahoe Ave Ste 110, Boulder, CO 80303-1082 | 2006-08-21 |
| 1194071605 | Boulder Gynecology & Minimally Invasive Surgery | Obstetrics & Gynecology | 4800 Riverbend Rd, Suite 200, Boulder, CO 80301-2636 | 2012-08-02 |
| 1639305873 | Ruth Kibbee Weinberg | Obstetrics & Gynecology | 2855 Valmont Rd, Boulder, CO 80301-1309 | 2009-06-02 |
| 1497925986 | Cchmd Corp | Obstetrics & Gynecology | 4745 Arapahoe Ave Ste 110, Boulder, CO 80303-1082 | 2008-03-11 |
| 1447362553 | Christine C Hansen | Obstetrics & Gynecology | 4745 Arapahoe Ave Ste 110, Boulder, CO 80303-1082 | 2006-08-31 |
| 1073629291 | Robert E Macsalka | Obstetrics & Gynecology | 4745 Arapahoe Ave Ste 110, Boulder, CO 80303-1082 | 2006-08-21 |
| 1730295940 | Catherine A. Ryan | Obstetrics & Gynecology | 4745 Arapahoe Ave Ste 110, Boulder, CO 80303-1082 | 2006-08-21 |
| 1801870530 | John R Imig | Obstetrics & Gynecology | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1080 | 2005-12-06 |
| 1922082593 | Sherburne Macfarlan | Obstetrics & Gynecology | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1080 | 2005-12-06 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.