Organization Active NPI

Boulder Management Services Organization

Doing business as The Thayer Group for Womens Care

  • Obstetrics & Gynecology Physician
  • Boulder, CO
National Provider Identifier
1316000169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
27055 Issued in CO
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
44936OtherCOBCBS
21206775MedicaidCO

Other names 1

  • The Thayer Group for Womens Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.