Active NPI
David C Thayer, FNPC
- Family Nurse Practitioner
- Winterport, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP161174
- Practice address
- 775 N Main St
Winterport, ME 04496-3414 - Phone
- (207) 223-0965
- Fax
- (207) 223-0975
- NPI assigned
- Oct 3, 2006
- Last updated
- May 5, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP161174 | ME | Primary |
Addresses
Primary practice location
775 N Main St
Winterport, ME 04496-3414
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 404-8200
Other practice location 1
22 Pleasant St
Mechanic Falls, ME 04256-6108
Phone (207) 345-9729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Current | Accepting new patients | |
| Alignmed Medical Group, PC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Family | Current | Accepting new patients |
| Central Maine Medical Center | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | Accepting new patients | |
| Genesis Elder Care Physician Services LLC | Past | Accepting new patients |
Locations
105 Mechanic St
Camden, ME 04843
Phone (207) 236-2573
3 Brazier Ln
Kennebunk, ME 04043
Phone (207) 467-4676
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
33 Roger St
Lewiston, ME 04240
Phone (207) 784-0108
22 Pleasant St
Mechanic Fls, ME 04256
Phone (207) 241-9832
67 Pine Point Rd
Scarborough, ME 04074
Phone (207) 883-2468
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1366289423
ME
-
dba GPS Physician Group PC
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
ME
-
- Internal Medicine Physician
- Salisbury, MD
- NPI 1609180926
Family, ME
-
dba CMMC Specialty Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1033874458
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
-
- Geriatric Medicine (Internal Medicine) Physician
- Warwick, RI
- NPI 1194774943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1871687939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1599",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021599",
"telephone_number": "207-404-8200",
"fax_number": "207-947-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 N MAIN ST",
"city": "WINTERPORT",
"state": "ME",
"postal_code": "044963414",
"telephone_number": "207-223-0965",
"fax_number": "207-223-0975"
}
],
"practiceLocations": [
{
"address_1": "22 Pleasant St",
"address_purpose": "LOCATION",
"city": "Mechanic Falls",
"state": "ME",
"postal_code": "042566108",
"country_code": "US",
"telephone_number": "207-345-9729",
"fax_number": "207-345-9421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAYER",
"first_name": "DAVID",
"middle_name": "C",
"credential": "FNPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP161174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winterport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.