Thida Maw I, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036077605 Issued in IL

Practice address

892 Hampton Dr
Carol Stream, IL 60188-2975

Phone

(630) 248-4873

NPI assigned

Jul 29, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Thida Maw MD PC

  • Pediatrics Physician
  • Carpentersville, IL
  • NPI 1336195882
  NPD Authorized official

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1114927191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 HAMPTON DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 HAMPTON DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882975",
            "telephone_number": "630-248-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAW",
        "first_name": "THIDA",
        "name_suffix": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036077605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036077605",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lee Marshall, PSY.D.
• Ana Martinez, RDN
• Janie Lyn Mata, PT
• Vetticalayil Mathew
• Marcus Christian Matundan, OTR/L
• Hannah McCarrell
• Elissa McGovern
• Augusta J McNeary
• Medical and Rehabilitation Center of Carol Stream LLC
• Meera Narsimhan DDS Inc

• Pediatrics Physician in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.