MATTHEW WILDER THAYER (NPI# 1932434750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932434750 |
| Entity Type | Individual |
| Full Name | MATTHEW WILDER THAYER |
| Credential | RNFA,ONC,CNOR |
| Practice Address |
3600 Gates Blvd Port Arthur TX 77642-3858 |
| Practice Telephone | 4099895108 |
| Mailing Telephone | 4099895108 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
607118 | TX | Nursing Service Providers |
| Street Address |
3600 GATES BLVD |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811966310 | Port Arthur Pathology Association | Pathology | 3600 Gates Blvd, Port Arthur, TX 77642 | 2006-03-16 |
| 1447756580 | Precise Telehealth of Texas Pllc | General Practice | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2018-04-05 |
| 1679025118 | Melissa Ballard | Nurse Practitioner | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2016-11-01 |
| 1083088389 | Solitude Emergency Physicians, Pllc | Physician Assistant | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2015-11-24 |
| 1346614294 | Country Road Emergency Physicians, Pllc | Physician Assistant | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2015-11-16 |
| 1114312576 | Brandy Kotz | Nurse Practitioner | 3600 Gates Blvd, Emergency Room, Port Arthur, TX 77642-3858 | 2015-04-02 |
| 1871916528 | Gates Blvd Emergency Physicians Pllc | Emergency Medicine | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2014-01-31 |
| 1467875641 | Texas Em-i Medical Services Pa | Physician Assistant | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2014-01-24 |
| 1598108854 | Bhatt, Mayoor | General Acute Care Hospital | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2013-04-16 |
| 1477802775 | Susanna Elizabeth Bloss | Nurse Practitioner | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2012-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 163WX0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316410780 | Melanie Nicole Kirkland | Registered Nurse | 901 W 1st St Apt 1219, Fort Worth, TX 76102-2762 | 2019-01-08 |
| 1962646224 | John Thomas Petersen | Registered Nurse | 1901 Medi Park Dr Ste 2051, Amarillo, TX 79106-2169 | 2009-04-29 |
| 1972583482 | Sandra Michelle Burke | Registered Nurse | 5618 Medical Center Dr, Katy, TX 77494-6308 | 2006-01-19 |
| 1801451661 | Suby Kurian | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2019-05-07 |
| 1659836344 | Lillykutty J Jacob | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2019-02-06 |
| 1497239891 | Kristen Bradley | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-09-20 |
| 1659753317 | Ian Bauer | Registered Nurse | 6550 Fannin St Ste 2600, Houston, TX 77030-2750 | 2015-06-18 |
| 1225335615 | Russell Ramirez | Registered Nurse | 3501 S Soncy Rd, Suite 129, Amarillo, TX 79119-6407 | 2011-02-21 |
| 1639369374 | Dawn Marie Lowe | Registered Nurse | 6400 Fannin St, Suite 1620, Houston, TX 77030-1521 | 2007-07-30 |
| 1992829378 | Brenda Navarrete | Registered Nurse | 2700 W Pleasant Run Rd, Suite 210, Lancaster, TX 75146-1079 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
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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.