Active NPI
Matthew G Thacher Sr.
- Military Health Care Provider
- Seattle, WA
National Provider Identifier
1811974686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- 1519 Alaskan Way S
Seattle, WA 98134-1102 - Phone
- (206) 217-6439
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | WA | Primary |
Addresses
Primary practice location
1519 Alaskan Way S
Seattle, WA 98134-1102
Mailing address
1519 Alaskan Way S
Seattle, WA 98134-1102
Phone (206) 217-6439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811974686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 ALASKAN WAY S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981341102",
"telephone_number": "206-217-6439",
"fax_number": "206-217-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 ALASKAN WAY S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981341102",
"telephone_number": "206-217-6439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACHER",
"first_name": "MATTHEW",
"middle_name": "G",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.