MICHAEL ROBERT BERG THAYER NPI 1356889976

NPI Information

NPI: 1356889976
Provider Name: MICHAEL ROBERT BERG THAYER
Classification: Emergency Medical Technician, Intermediate - 146M00000X
Entity Type: Individual
Address:
MADIGAN ARMY MEDICAL CENTER 9040JACKSON AVE
ATTN: MCHJ-CLQ-C
TACOMA, WA
ZIP 98431
Phone: (253) 968-1110
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Michael Robert Berg Thayer is an emergency medical technician intermediate in Tacoma, WA. The provider is an Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. Michael Robert Berg Thayer NPI is 1356889976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MADIGAN ARMY MEDICAL CENTER 9040JACKSON AVE
ATTN: MCHJ-CLQ-C
TACOMA, WA
ZIP 98431-100
Phone: (253) 968-1110

The enumeration date for this NPI number is 2/2/2017 and was last updated on 2/2/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146M00000X	Emergency Medical Technician, Intermediate		MED-AEMT-LIC-40939	MONTANA	No
2	146M00000X	Emergency Medical Technician, Intermediate		A2008424		Yes

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

NPI Synchronization or Removal

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