Active NPI
David A Thayer, MD
- Vascular & Interventional Radiology Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD60912239
- Practice address
- 801 S Stevens St
Spokane, WA 99204 - Phone
- (509) 363-7788
- Fax
- (509) 363-7064
- NPI assigned
- Apr 13, 2013
- Last updated
- Jul 16, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD60912239 | WA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD60912239 | WA | Primary |
Addresses
Primary practice location
801 S Stevens St
Spokane, WA 99204
Mailing address
801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 363-7788
Other practice location 1
510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Phone (314) 362-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871936419 | Other | WA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, WA, MT, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of California, Irvine, California College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100704 162 PR SE
Kennewick, WA 99338-9227
Phone (541) 754-1150
1200 12TH Ave S
Seattle, WA 98144-2712
Phone (509) 363-7788
12420 E Mission Ave
Spokane Valley, WA 99216-1051
Phone (509) 747-4455
16528 E Desmet CT
Suite A1300
Spokane Valley, WA 99216-3522
Phone (509) 747-4455
2360 Mullan Rd
Suite C
Missoula, MT 59808-1811
Phone (509) 363-7788
2419 Mullan Rd
Suite D
Missoula, MT 59808-1856
Phone (509) 363-7788
2801 St Anthony Way
Pendleton, OR 97801-3800
Phone (541) 276-5121
3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150
421 S Division St
Spokane, WA 99202-1331
Phone (509) 747-4455
500 E Webster Ave
Chewelah, WA 99109-9523
Phone (509) 363-7745
525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455
551 E Hawthorne Rd
Spokane, WA 99218-1417
Phone (509) 747-4455
5715 N Lidgerwood St
Spokane, WA 99208-1225
Phone (509) 747-4455
7221 W Deschutes Ave
Kennewick, WA 99336-7807
Phone (509) 747-4455
801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 363-7745
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 747-4455
9631 N Nevada St
Suite 101
Spokane, WA 99218-1193
Phone (509) 747-4455
Hospital & facility affiliations
- Kadlec Regional Medical Center
- Prov Sacred HRT Med Ctr & Childs Hosp.
- St Anthony Hospital
- Prosser Memorial Hospital
- Providence St Mary Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60912239 | WA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia County Hospital District | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Integra Imaging, PS | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Integra Imaging, PS | Diagnostic Radiology | Current | Accepting new patients |
| Okanogan Douglas County Hospital Dist1 | Current | Accepting new patients | |
| The Corvallis Clinic P C | Current | Accepting new patients | |
| Grant County Public Hospital District 2 | Current | Accepting new patients | |
| The Corvallis Clinic P C | Current | Accepting new patients | |
| Moses Lake Community Health Center | Current | Accepting new patients | |
| Okanogan Douglas County Hospital Dist 1 | Current | Accepting new patients | |
| Moses Lake Community Health Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Columbia County Hospital District | Current | Accepting new patients | |
| Inland Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Columbia County Hospital District | Current | Accepting new patients | |
| Washington University | Diagnostic Radiology | Current | Accepting new patients |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Inland Imaging Associates PS | Diagnostic Radiology | Current | Accepting new patients |
| Oregon Healthcare Resources, LLC | Current | Accepting new patients |
Locations
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177
510 S Kingshighway Blvd
#8131
Saint Louis, MO 63110
Phone (314) 362-2911
660 S Euclid Ave
#8131
Saint Louis, MO 63110
Phone (314) 362-2809
2360 Mullan Rd
Ste C
Missoula, MT 59808
Phone (406) 542-9695
2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512
2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010
3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282
3680 NW Samaritan Dr
Ste 100
Corvallis, OR 97330
Phone (541) 754-1282
2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121
500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154
1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531
605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674
908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503
1100 Goethals Dr
Ste E
Richland, WA 99352
Phone (509) 942-3095
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1145 Broadway
Seattle, WA 98122
1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397
801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316
401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731
Interoperability endpoints
- dthayer1031316@wm.providencedirect.org
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
Organizations & group practices 21
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.
-
dba Columbia County Health System
- Critical Access Hospital
- Dayton, WA
- NPI 1134128911
-
dba Quincy Valley Medical Center
- Emergency Medical Services (Emergency Medicine) Physician
- Quincy, WA
- NPI 1659445468
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Federally Qualified Health Center (FQHC)
- Moses Lake, WA
- NPI 1699862813
-
dba Three Rivers Hospital
- Critical Access Hospital
- Brewster, WA
- NPI 1205942257
-
dba Three Rivers Hospital
- Critical Access Hospital
- Brewster, WA
- NPI 1356305395
-
dba Oregon Medical Group
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
WA
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
Diagnostic Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
dba Prosser Memorial Health
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
-
dba Providence St Mary Medical Center
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1871936419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S STEVENS ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042654",
"telephone_number": "509-363-7788",
"fax_number": "509-363-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S STEVENS ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99204",
"telephone_number": "509-363-7788",
"fax_number": "509-363-7064"
}
],
"practiceLocations": [
{
"address_1": "510 S Kingshighway Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101016",
"country_code": "US",
"telephone_number": "314-362-7200",
"fax_number": "314-747-4189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAYER",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-13",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60912239",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WA",
"license": "MD60912239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1871936419",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.