Individual provider Active NPI

Charles A Thayer, M.D.

  • Surgery Physician
  • Taunton, MA
National Provider Identifier
1306871454
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
53070 Issued in MA
Practice address
72 Washington St
Suite 2700
Taunton, MA 02780-2491
Phone
(508) 823-1101
NPI assigned
Jul 11, 2006
Last updated
Sep 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 53070 MA Primary

Addresses

Primary practice location

72 Washington St
Suite 2700
Taunton, MA 02780-2491

Mailing address

72 Washington St
Suite 2700
Taunton, MA 02780-2491
Phone (508) 823-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20050323000493 MA Practitioner - General Surgery 3971559980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Geisel School of Medicine at Dartmouth, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

72 Washington St
Suite 2700
Taunton, MA 02780-2498
Phone (508) 824-4535

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Pacemaker insertion or repair15
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue160
Removal of skin lesions44
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group of Massachusetts Inc Surgery CurrentSince Jan 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 31, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 31, 2018 Accepting new patients
Lifespan of Massachusetts - Taunton Inc Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

72 Washington St
Ste 2700
Taunton, MA 02780
Phone (508) 824-4535

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: charles.thayer.1@2017.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1306871454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "address_2": "SUITE 2700",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802491",
            "telephone_number": "508-823-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "address_2": "SUITE 2700",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802491",
            "telephone_number": "508-823-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "53070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.