JOHN B THALLER


Address: 15 Enterprise Dr, Ste 100, Augusta, ME 04330-7894
Phone: 2076218700

JOHN B THALLER (NPI# 1922047505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922047505
Entity Type Individual
Full Name JOHN B THALLER
Credential MD
Practice Address 15 Enterprise Dr
Ste 100
Augusta
ME 04330-7894
Practice Telephone 2076218700
Practice Fax Number 2076218701
Mailing Telephone 2076218700
Mailing Fax Number 2076218701
Enumeration Date 2006-06-06
Last Update Date 2015-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 017126 ME Allopathic & Osteopathic Physicians
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
MD17126 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 432326199 05

Office Location

Street Address 15 ENTERPRISE DR
STE 100
City AUGUSTA
State ME
Zip Code 04330-7894

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760458129 William D Rogers Orthopaedic Surgery 15 Enterprise Dr, Ste 100, Augusta, ME 04330-7894 2006-02-27
1457995151 Alyssa Hanson Nurse Practitioner 15 Enterprise Dr, Augusta, ME 04330-7997 2019-11-05
1104474642 Michael Rodger Orthopaedic Surgery 15 Enterprise Dr, Augusta, ME 04330-7997 2019-08-28
1336707397 Irina Bryant Occupational Therapist 15 Enterprise Dr, Augusta, ME 04330-7997 2019-06-04
1922665652 Sarah Havener Nurse Practitioner 15 Enterprise Dr, Augusta, ME 04330-7997 2019-05-29
1245895879 Samantha Guyette Physician Assistant 15 Enterprise Dr, Augusta, ME 04330-7997 2019-05-09
1265096663 Rachel Hough Physician Assistant 15 Enterprise Dr, Augusta, ME 04330-7997 2019-05-01
1437713831 Jessica Cysner Physician Assistant 15 Enterprise Dr, Augusta, ME 04330-7997 2019-05-01
1356827778 Sandra Pelletier Nurse Practitioner 15 Enterprise Dr, Augusta, ME 04330-7997 2018-07-18
1861978090 Allyson Eller Physician Assistant 15 Enterprise Dr, Augusta, ME 04330-7997 2018-07-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770181877 Renewal Family Center, LLC Community/Behavioral Health 10 Learners Drive, Augusta, ME 04330 2020-10-12
1134748759 Chelsea Simone Koch Registered Nurse 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 2020-04-14
1790238442 Nicole Lacrosse Behavioral Analyst 53 Hayden Rd, Augusta, ME 04330 2016-07-29
1093176844 Richard J. Larrabee Counselor 312 Townhouse Road, Chelsea, ME 04330 2016-03-08
1376910984 Sarah C. A. Tatlock Social Worker 41 Anthony Ave, Augusta, ME 04330 2015-08-31
1457728180 Va Maine Health General Acute Care Hospital 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 2015-08-28
1043696842 Megan Arsenault Pharmacist 403 Water Street, Augusta, ME 04330 2015-08-04
1205219987 Trevor Holbert Audiologist 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 2015-06-30
1659787836 Hannah M. Pullen Occupational Therapy Assistant 12 Shuman Ave Ste 16, Augusta, ME 04330 2014-07-08
1831469899 Tanya Bernadette Quarterman Specialist 153 Hospital St Ste 13, Augusta, ME 04330 2012-01-09
Find all providers in zip 04330

Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396812319 Richard William Pope Orthopaedic Surgery 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 2006-11-29
1730295551 Simeon Marcus Fulcher Orthopaedic Surgery 1120 15th St, Suite Bp 2109, Augusta, GA 30912-0004 2006-08-22
1851322234 James Wendell Duncan Orthopaedic Surgery 3650 J Dewey Gray Cir, Augusta, GA 30909-1867 2006-07-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306130398 Youssra Marjoua Orthopaedic Surgery 33 Sewall St, Portland, ME 04102-2603 2011-06-07
1063575355 Kathryn Heidi Hanna Orthopaedic Surgery 33 Sewall St, Portland, ME 04102 2006-12-18
1467476226 Matthew Donald Bush Orthopaedic Surgery 690 Minot Ave, Suite One, Auburn, ME 04210-3922 2006-07-26
1942271721 Gordon Stewart Campbell Orthopaedic Surgery 417 State St, Suite 209, Bangor, ME 04401-6630 2006-01-30
1952391609 Lauren P Adey Orthopaedic Surgery 690 Minot Ave, Suite One, Auburn, ME 04210-3922 2005-10-25
1790785624 John T Chance Orthopaedic Surgery 33 Sewall St, Portland, ME 04102-2603 2005-07-21

Competitor

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City AUGUSTA
Zip Code 04330

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Dataset Information

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.

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