Organization Active NPI

David a Thanhauser

  • Family Medicine Physician
  • Belfast, ME
National Provider Identifier
1902094816
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
008077 Issued in ME
Legal business name
DAVID A THANHAUSER
Practice address
75 Northport Ave
Belfast, ME 04915-6000
Phone
(207) 338-3995
Fax
(207) 338-2831
NPI assigned
Oct 5, 2007
Last updated
Sep 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
David A Thanhauser, M.D.
Title
Owner
Phone
(207) 338-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 008077 ME Primary

Addresses

Primary practice location

75 Northport Ave
Belfast, ME 04915-6000

Mailing address

75 Northport Ave
Belfast, ME 04915-6000
Phone (207) 338-3995

Other identifiers 1

IdentifierTypeStateIssuer
108540000MedicaidME

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3232/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1902094816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156000",
            "telephone_number": "207-338-3995",
            "fax_number": "207-338-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NORTHPORT AVE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156000",
            "telephone_number": "207-338-3995",
            "fax_number": "207-338-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A THANHAUSER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "THANHAUSER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-338-3995",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "008077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108540000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfast, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.