Kent H Thayer Jr., M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

18431 Issued in CO

Practice address

75 Printers Pkwy
Colorado Springs, CO 80910-3151

Phone

(719) 634-1994

Fax

(719) 634-2906

NPI assigned

Jul 12, 2005

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.645

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colorado Springs Urological Associates LLC

  • Urology Physician
  • Colorado Springs, CO
  • NPI 1356305114
  NPD (past)
• Colorado Springs Urological Associates LLC

  • Urology Physician
  • Colorado Springs, CO
  • NPI 1649704826
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1710985973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MAYHURST AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063056",
            "telephone_number": "719-577-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINTERS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103151",
            "telephone_number": "719-634-1994",
            "fax_number": "719-634-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "KENT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "18431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01184316",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel B Thatcher, M.D.
• James A Thatcher, D.C.
• Mills Thatcher
• Ryan Thaxton
• Gina Thayer
• Rachel Erin Thayer, PHD
• The Aspen Collective
• The Behavior Company LTD.
• The Behavior Project, LLC
• The Bridge

• Urology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.