Yogendra K Thaker M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

YOGENDRA K THAKER M.D.

Practice address

20 State Rd
Phillipston, MA 01331-9787

Phone

(978) 249-2347

Fax

(978) 249-6333

NPI assigned

Aug 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Yogendra K Thaker, MD

Title

Owner

Phone

(978) 407-1975

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1124748504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 STATE RD",
            "city": "PHILLIPSTON",
            "state": "MA",
            "postal_code": "013319787",
            "telephone_number": "978-249-2347",
            "fax_number": "978-249-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 STATE RD",
            "city": "PHILLIPSTON",
            "state": "MA",
            "postal_code": "013319787",
            "telephone_number": "978-249-2347",
            "fax_number": "978-249-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOGENDRA K THAKER M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-28",
        "status": "A",
        "authorized_official_last_name": "THAKER",
        "authorized_official_first_name": "YOGENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-407-1975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Nottleson, M.D.
• Daniella Nowicki, CD(DONA)
• Robyn M Parmenter, OTR/L
• Town of Phillipston
• James Wersal
• Maureen Jean Ziminski, OTR

• Pediatrics Physician in Phillipston, MA
• Providers in Phillipston, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.