Active NPI
Dena W Thayer, D.O.
- Plastic and Reconstructive Surgery Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- O16252
- Practice address
- 1316 Mercy Dr
Muskegon, MI 49444-1835 - Phone
- (231) 739-9461
- Fax
- (231) 733-8131
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | O16252 | MI | Primary |
Addresses
Primary practice location
1316 Mercy Dr
Muskegon, MI 49444-1835
Mailing address
1316 Mercy Dr
Muskegon, MI 49444-1835
Phone (231) 739-9461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4638958 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1316 Mercy Dr
Muskegon, MI 49444-1835
Phone (231) 739-9461
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 739-9341
Hospital & facility affiliations
- Trinity Health Muskegon Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 21 |
| Melanoma (skin cancer) excision | 30 |
| Removal of tissue | 35 |
| Removal of skin lesions | 64 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 26 |
| Skin biopsy | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O16252 | MI | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskegon Surgical Associates Surgicenter, PLC | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Muskegon Surgical Associates PC | Current | Accepting new patients |
Locations
1316 Mercy Dr
Muskegon, MI 49444
Phone (231) 739-9461
1672 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-2470
1675 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-1933
Interoperability endpoints
- dthayer40618@direct.trinity-health.org
Organizations & group practices 2
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.
-
- Surgery Physician
- Muskegon, MI
- NPI 1225101660
-
- Ambulatory Surgical Clinic/Center
- Muskegon, MI
- NPI 1184485146
Plastic and Reconstructive Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1306809546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 MERCY DR",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441835",
"telephone_number": "231-739-9461",
"fax_number": "231-739-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 MERCY DR",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441835",
"telephone_number": "231-739-9461",
"fax_number": "231-733-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAYER",
"first_name": "DENA",
"middle_name": "W",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MI",
"license": "O16252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4638958",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.