Gregory Ray Thomaier in Saint James - Sports Physician

Gregory Ray Thomaier - NPI 1992725113

Gregory Ray Thomaier is a Sports Physician in Saint James, New York. Gregory Ray Thomaier practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Gregory Ray Thomaier is 1992725113. The last update date is 2007-11-27.

Gregory Ray Thomaier's current location address is 338 Lake Ave, Saint James, New York. You can contact this provider via phone number 6315848100 and fax number 6315849436. The mailing address for Gregory Ray Thomaier is 338 Lake Ave, Saint James, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Ray Thomaier
Address 338 Lake Ave, Saint James, New York
Phone Number 6315848100
Fax Number 6315849436
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1992725113
Provider Enumeration Date 2006-07-20
Last Updated Date 2007-11-27

Provider Mailing Address Detail

Address 338 Lake Ave
City Saint James
State New York (NY)
Post Code 117802224
Phone Number 6315848100
Fax Number 6315849436

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No X007863
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5898286 NY GHI
P1092926 NY OXFORD
X4K141 NY EMPIRE BC/BS
P-11067587 NY MULTIPLAN
1824490 NY UNITED HEALTHCARE
AA50665 NY MDNY
113468347-01 NY PRISM (VYTRA PANEL)

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FAQs about Gregory Ray Thomaier

What is the unique identifier code issued to Gregory Ray Thomaier by the Centers for Medicare & Medicaid Services (CMS)?

The Gregory Ray Thomaier has been assigned the NPI (National Provider Identifier) 1992725113. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Gregory Ray Thomaier located?

The Gregory Ray Thomaier is located at 338 Lake Ave, Saint James, NY 117802224.

What is Gregory Ray Thomaier's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gregory Ray Thomaier is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.

On what date did the Gregory Ray Thomaier receive its 1992725113 assignment from the Centers for Medicare & Medicaid Services?

The Gregory Ray Thomaier was assigned its 1992725113 by the Centers for Medicare & Medicaid Services on 2006-07-20.

As of what date were the details related to Gregory Ray Thomaier most recently updated or revised?

The information pertaining to Gregory Ray Thomaier, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-27.

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