Nimshavathani Thaver, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS015380 Issued in PA

Practice address

1260 E Woodland Ave
Suite 200
Springfield, PA 19064-3969

Phone

(610) 690-4490

Fax

(610) 328-9391

NPI assigned

Sep 3, 2006

Last updated

Jun 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  FL

  Medicare reassignment NPD
• Nimsha Thaver, D.O PC

  • Family Medicine Physician
  • San Pedro, CA
  • NPI 1285680280
  NPD (past) Authorized official
• Cura-HPC, LLC

  • Community Based Hospice Care Agency
  • Tulsa, OK
  • NPI 1396758199

  Family Medicine

  NPD (past)
• Karen S. Adams M.D.

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1255528345
  NPD (past)
• Openloop Healthcare Partners California PC

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1659042331
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1053413682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643969",
            "telephone_number": "610-690-4490",
            "fax_number": "610-328-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643969",
            "telephone_number": "610-690-4490",
            "fax_number": "610-328-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAVER",
        "first_name": "NIMSHAVATHANI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026440190001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Anne Tan, MS, LBS
• Rickey Tang
• Abubakarr Tarawalie
• Margaret Mary Tareila, P.T.
• Keala Rae Tekolste, M.D.
• The Art of Podiatry
• The Center for Sports Medicine
• The Center for Sports Medicine, Brian J. Shiple D.O., LLC
• The Giant Company, LLC (Giant Pharmacy #6464)
• Theresa M. Benz (Shapes & Lace)

• Family Medicine Physician in Springfield, PA
• Providers in Springfield, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.