MICHAEL ROBERT BERG THAYER (NPI# 1356889976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356889976 |
Entity Type | Individual |
Full Name | MICHAEL ROBERT BERG THAYER |
Practice Address |
Madigan Army Medical Center 9040jackson Ave Attn: Mchj-clq-c Tacoma WA 98431-1100 |
Practice Telephone | 2539681110 |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 146M00000X | Emergency Medical Technician, Intermediate | MED-AEMT-LIC-409 | MT | Emergency Medical Service Providers |
Y | 146M00000X | Emergency Medical Technician, Intermediate | A2008424 | Emergency Medical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558364422 | Michael A Thayer | Physician Assistant | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2005-05-24 |
1508946989 | Michael A Thayer | Emergency Medicine | 3131 S Main St, Moultrie, GA 31768-6925 | 2006-10-17 |
1306884226 | Michael Wm. Thayer | Psychologist | 10475 Perry Hwy Ste 300, Wexford, PA 15090-9213 | 2006-06-03 |
Street Address |
MADIGAN ARMY MEDICAL CENTER 9040JACKSON AVE ATTN: MCHJ-CLQ-C |
City | TACOMA |
State | WA |
Zip Code | 98431-1100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750349106 | Lisa Marie O'block | Physical Therapist | Madigan Army Medical Center 9040jackson Ave, Tacoma, WA 98431-0001 | 2006-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
Find all providers in zip 98431 |
Taxonomy Code | 146M00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Intermediate |
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811104334 | Lee Vernon Elton | Emergency Medical Technician, Intermediate | 1 Colville Streets, Nespelem, WA 99155 | 2007-05-16 |
1760996037 | Douglas Lyle Timpe | Emergency Medical Technician, Intermediate | 1028 N Wenatchee Ave, Wenatchee, WA 98801-1532 | 2017-11-25 |
1134337546 | John R Gross | Emergency Medical Technician, Intermediate | 1 Colville Street, Nespelem, WA 99155 | 2007-05-18 |
1699983015 | Jennifer Barr-clendennen | Emergency Medical Technician, Intermediate | 39 Short Cut Rd, Inchelium, WA 99138-0290 | 2007-05-18 |
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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.