Active NPI
Maureen Thayer
- Specialist
- Syracuse, NY
National Provider Identifier
1306414776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 4189 Saint John Dr
Syracuse, NY 13215-1248 - Phone
- (315) 751-6004
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4189 Saint John Dr
Syracuse, NY 13215-1248
Mailing address
4189 Saint John Dr
Syracuse, NY 13215-1248
Phone (315) 751-6004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1306414776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4189 SAINT JOHN DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132151248",
"telephone_number": "315-751-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4189 SAINT JOHN DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132151248",
"telephone_number": "315-751-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAYER",
"first_name": "MAUREEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
- Ashlee Thatcher, LISW-S
- Phitsamai Thatvihane, NP-C
- Elizabeth Gilbert Thayer, MD
- Jennifer Thayer, MS-SLP
- Louise Kathryn Thayer
- The Golub Corporation
- The Hill OBGYN Associates PC
- The Lasik Vision Institute LLC
- The Network for Children'S Speech, Occupational and Physical Therapy
- The Practice of Peace Mental Health Counseling, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.