URSULA LOUISE THATCH M.D. NPI 1659423085

NPI Information

NPI: 1659423085
Provider Name: URSULA LOUISE THATCH, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
6810 STATE ROUTE 162
STE 100
MARYVILLE, IL
ZIP 62062
Phone: (618) 288-0060
Get Directions

Ursula Louise Thatch, M.D. is a gynecology obstetrics gynecology in Maryville, IL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Ursula Louise Thatch, M.D. NPI is 1659423085. 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:

6810 STATE ROUTE 162
STE 100
MARYVILLE, IL
ZIP 62062-501
Phone: (618) 288-0060
Fax: (618) 288-0063

The enumeration date for this NPI number is 1/17/2007 and was last updated on 12/17/2008.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	36980	MISSOURI	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	036-085831	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6010076	OTHER	ILLINOIS	IL-BCBS
2	F48995	MEDICARE UPIN	ILLINOIS
3	K48449	MEDICARE PIN	ILLINOIS
4	1619	OTHER	MISSOURI	MO-BCBS-FACET#
5	060-10076	OTHER	ILLINOIS	IL BCBS
6	0360858311	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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