Active NPI
Boulder Management Services Organization
Doing business as The Thayer Group for Womens Care
- Obstetrics & Gynecology Physician
- Boulder, CO
National Provider Identifier
1316000169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 27055
- Legal business name
- BOULDER MANAGEMENT SERVICES ORGANIZATION
- Doing business as
- The Thayer Group for Womens Care
- Practice address
- 1155 Alpine
Suite 230
Boulder, CO 80304 - Phone
- (303) 443-2010
- Fax
- (303) 443-7882
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David O Thayer, MD
- Title
- Physician Owner
- Phone
- (303) 443-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 27055 | CO | Primary |
Addresses
Primary practice location
1155 Alpine
Suite 230
Boulder, CO 80304
Mailing address
PO Box 802
Broomfield, CO 80038-0802
Phone (303) 465-1303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44936 | Other | CO | BCBS |
| 21206775 | Medicaid | CO |
Other names 1
- The Thayer Group for Womens Care
National Provider Directory
National Provider DirectoryLocations
1155 Alpine Ave
Ste 230
Boulder, CO 80304
Phone (303) 443-2010
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecologic Oncology Physician
- Louisville, CO
- NPI 1770518284
-
- Women's Health Nurse Practitioner
- Boulder, CO
- NPI 1134326382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316000169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800380802",
"telephone_number": "303-465-1303",
"fax_number": "303-404-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 ALPINE",
"address_2": "SUITE 230",
"city": "BOULDER",
"state": "CO",
"postal_code": "80304",
"telephone_number": "303-443-2010",
"fax_number": "303-443-7882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOULDER MANAGEMENT SERVICES ORGANIZATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THAYER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "303-443-2010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "27055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "44936",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21206775",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Thayer Group for Womens Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boulder, CO
- Boulder Institute for Sports Medicine, P.C.
- Boulder Integrated Health LLC (Bolder Life)
- Boulder Internal Medicine PC (Front Range Preventive Imaging)
- Boulder Journey Counseling
- Boulder Lactation Clinic LLC
- Boulder Massage (Boulder Massage & NeuroMuscular Therapy)
- Boulder Medical Center, P.C.
- Boulder Medical Center, P.C.
- Boulder Medical Center, P.C.
- Boulder Medical Center, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.