Individual provider Active NPI

David A Thayer, MD

  • Vascular & Interventional Radiology Physician
  • Spokane, WA
National Provider Identifier
1871936419
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD60912239 Issued in WA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1871936419OtherWANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WA, MT, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180604000118 MO Practitioner - Diagnostic Radiology 0941421911 Reassigns benefits to 1 organization
I20190311002053 WA Practitioner - Diagnostic Radiology 0941421911 Reassigns benefits to 12 organizations
I20190409001404 MT Practitioner - Diagnostic Radiology 0941421911 Reassigns benefits to 3 organizations
I20230126000126 OR Practitioner - Diagnostic Radiology 0941421911 Reassigns benefits to 4 organizations

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
The Corvallis Clinic P CGroup PAC ID 1456244540, 128 clinicians
Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60912239WAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Kadlec Regional Medical Center CurrentSince Aug 29, 2023 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince Mar 1, 2019 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 CurrentSince Mar 1, 2019 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Apr 25, 2022 Accepting new patients
The Corvallis Clinic P C CurrentSince Aug 11, 2025 Accepting new patients
Grant County Public Hospital District 2 CurrentSince Apr 1, 2019 Accepting new patients
The Corvallis Clinic P C CurrentSince Mar 23, 2026 Accepting new patients
Moses Lake Community Health Center CurrentSince Mar 1, 2019 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Apr 25, 2022 Accepting new patients
Moses Lake Community Health Center CurrentSince Mar 1, 2019 Accepting new patients
Kadlec Regional Medical Center CurrentSince Aug 29, 2023 Accepting new patients
Columbia County Hospital District CurrentSince Jun 30, 2021 Accepting new patients
Inland Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Columbia County Hospital District CurrentSince Jun 30, 2021 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients
Inland Imaging Associates PS Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Sep 21, 2025 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

  • Direct secure messaging: dthayer1031316@wm.providencedirect.org
  • FHIR API: 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.

View all 21

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.