DR. KRISTINE JANE THAYER M.D. NPI 1366464950

NPI Information

NPI: 1366464950
Provider Name: DR. KRISTINE JANE THAYER, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
2350 N ROCKTON AVE
PEDIATRIC SURGERY
ROCKFORD, IL
ZIP 61103
Phone: (815) 971-7255
Get Directions

DR. Kristine Jane Thayer, M.D. is a pediatric surgery surgery in Rockford, IL. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Kristine Jane Thayer, M.D. NPI is 1366464950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2350 N ROCKTON AVE
PEDIATRIC SURGERY
ROCKFORD, IL
ZIP 61103-600
Phone: (815) 971-7255
Fax: (815) 971-9955

The NPI 1366464950 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 6/19/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	25MA05751800	NEW JERSEY	No
2	2086S0120X	Surgery	Pediatric Surgery	49252	COLORADO	No
3	2086S0120X	Surgery	Pediatric Surgery	246981	NEW YORK	No
4	2086S0120X	Surgery	Pediatric Surgery	35-097350	OHIO	No
5	2086S0120X	Surgery	Pediatric Surgery	016753	MAINE	No
6	2086S0120X	Surgery	Pediatric Surgery	28316	OKLAHOMA	No
7	2086S0120X	Surgery	Pediatric Surgery	77958	MONTANA	Yes
8	207XP3100X	Orthopaedic Surgery	Pediatric Orthopaedic Surgery	036127325	ILLINOIS	No
9	2086S0120X	Surgery	Pediatric Surgery	036127325	ILLINOIS	No
10	2086S0120X	Surgery	Pediatric Surgery	ME 72169	FLORIDA	No

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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