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BOULDER MANAGEMENT SERVICES ORGANIZATION NPI 1316000169


NPI Information

NPI: 1316000169
Provider Name: BOULDER MANAGEMENT SERVICES ORGANIZATION

Doing Business As: THE THAYER GROUP FOR WOMENS CARE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1155 ALPINE
SUITE 230
BOULDER, CO
ZIP 80304
Phone: (303) 443-2010
Get Directions

BOULDER MANAGEMENT SERVICES ORGANIZATION is an obstetrics gynecology in Boulder, CO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BOULDER MANAGEMENT SERVICES ORGANIZATION NPI is 1316000169. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Thayer Group For Womens Care.

The provider's business location address is:

1155 ALPINE
SUITE 230
BOULDER, CO
ZIP 80304
Phone: (303) 443-2010
Fax: (303) 443-7882

The provider's authorized official is David O Thayer .
The authorized official title is Physician Owner and has the following contact phone number (303) 443-2010.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology27055COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121206775MEDICAIDCOLORADO
244936OTHERCOLORADOBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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