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LEONARD IRWIN THATCH MD NPI 1548238231


NPI Information

NPI: 1548238231
Provider Name: LEONARD IRWIN THATCH, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
2055 S PACHECO ST
SUITE 600
SANTA FE, NM
ZIP 87505
Phone: (505) 473-0390
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Leonard Irwin Thatch, MD is a family medicine in Santa Fe, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Leonard Irwin Thatch, MD NPI is 1548238231. 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:

2055 S PACHECO ST
SUITE 600
SANTA FE, NM
ZIP 87505-997
Phone: (505) 473-0390
Fax: (505) 473-0375

The enumeration date for this NPI number is 3/9/2006 and was last updated on 4/8/2009.


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
1207Q00000XFamily MedicineMD2003-0709NEW MEXICOYes

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
1A75310MEDICARE UPIN

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: 4/28/2024

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