Eric Duane Thayer, DNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A164805 Issued in IA

Practice address

310 3Rd Ave SE
Cedar Rapids, IA 52401-1507

Phone

(651) 276-2700

NPI assigned

Jul 27, 2021

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Osimm Holdings Ok, LLC

  dba New Leaf Wellness

  • Clinic/Center
  • Oklahoma City, OK
  • NPI 1023354842
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1457024424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 3RD AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011507",
            "telephone_number": "319-201-0004",
            "fax_number": "319-409-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 3RD AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011507",
            "telephone_number": "651-276-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "ERIC",
        "middle_name": "DUANE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "A164805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BOARD OF NURSING ARNP LICENSE",
            "identifier": "A164805",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Alan Teig, O.D.
• Michael Steven Telisak, M.D.
• Kathleen M Teraberry, MSW LISW
• Ryan R Terribile, LMSW
• Mary Tharp, LISW
• The Arc of East Central Iowa
• The Breathing Room Counseling PLLC
• The Cedar Rapids Dental Center
• The Center for Self LLC
• The Cozy Corner Therapy & Counseling PLLC

• Family Medicine Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.