Thayer Surgical LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

THAYER SURGICAL LLC

Practice address

W307N1497 Golf Rd Ste 200
Delafield, WI 53018-2112

Phone

(920) 627-2735

NPI assigned

May 4, 2023

Last updated

May 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Thayer, MDNPI 1326499930

Title

President

Phone

(920) 627-2735

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Thayer, MD

  • Plastic Surgery Physician
  • Delafield, WI
  • NPI 1326499930
  Authorized official Same address or phone

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1710676846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E GOODRICH LN",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532172944",
            "telephone_number": "920-627-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W307N1497 GOLF RD STE 200",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182112",
            "telephone_number": "920-627-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAYER SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-627-2735",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Roundy-Schmidt, LLC
• Renee Malcolm Szafir
• Jacquelyn Szalacinski, BSN, RN, IBCLC, CLC
• Rebecca Taylor, PHARMD
• Theresa Marie Tengler, RD
• Jacob Thayer, MD
• The Eyeglassery, Co
• Thomas Richard Tomaszewski, PTA
• Total Renal Care Inc (Lake Country Dialysis)
• Elise Jennifer Trasser, LAC

• Plastic Surgery Physician in Delafield, WI
• Providers in Delafield, WI by specialty
• Plastic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.