GREGORY THATCHER MD NPI 1124054150

NPI Information

NPI: 1124054150
Provider Name: GREGORY THATCHER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
100 COUNTY ROAD B
SHAWANO, WI
ZIP 54166
Phone: (715) 524-2161
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Gregory Thatcher, MD is a family medicine in Shawano, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Gregory Thatcher, MD NPI is 1124054150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 COUNTY ROAD B
SHAWANO, WI
ZIP 54166-072
Phone: (715) 524-2161
Fax: (715) 524-8164

The enumeration date for this NPI number is 6/23/2006 and was last updated on 1/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		22550	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B57102	MEDICARE UPIN
2	30277900	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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