DR. SEAN THAYER (NPI# 1619972197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619972197 |
| Entity Type | Individual |
| Full Name | DR. SEAN THAYER |
| Credential | DPM |
| Practice Address |
2220 Riverside Ave Minneapolis MN 55454-1321 |
| Mailing Address |
8170 33rd Ave S Ms 21110q Bloomington MN 55425-4516 |
| Practice Telephone | 6123415000 |
| Practice Fax Number | 6123711673 |
| Mailing Telephone | 6123415000 |
| Mailing Fax Number | 6123711673 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2018-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 756 | MN | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104978543 | Sean Curtis Thayer | Counselor | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2007-01-17 |
| Street Address |
2220 RIVERSIDE AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187084 | Marcia Wahl | Registered Nurse | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2020-05-31 |
| 1619499746 | Kathleen Ann Otremba | Nurse Practitioner | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2017-07-11 |
| 1417490228 | Lucianna Baregi | Physical Therapist | 2220 Riverside Ave, 5th Floor, Minneapolis, MN 55454-1321 | 2016-11-28 |
| 1609256031 | Lydia Staples | Obstetrics & Gynecology | 2220 Riverside Ave, Mail Stop 31700a, Minneapolis, MN 55454 | 2015-06-01 |
| 1821476821 | Melissa Pavek | Family Medicine | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-05-11 |
| 1023402658 | Michelle Tracy Koenig | Nurse Practitioner | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-03-20 |
| 1699166082 | Linnea Marie Forsline | Physician Assistant | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-02-06 |
| 1699199802 | Zachery Avir Lecrone | Social Worker | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-02-07 |
| 1386083111 | Laura Virginia Maus | Internal Medicine | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2013-06-14 |
| 1548607666 | Daniel Joseph Denucci | Dentist | 2220 Riverside Ave, Minneapolis, MN 55454 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912556937 | Seniorwell Pod of Minnesota, LLC | Podiatrist | 100 S 5th St Ste 1900, Minneapolis, MN 55402-1267 | 2019-09-11 |
| 1013977644 | Todd Arnold Shea | Podiatrist | 825 Nicollet Mall Ste 300, Minneapolis, MN 55402-2610 | 2006-03-27 |
| 1558893180 | Michelle Lynn Winder | Podiatrist | 701 Park Ave, Hennepin County Medical Center, Podiatry Department, Minneapolis, MN 55415-1623 | 2017-04-02 |
| 1063857985 | Erin A Roberson | Podiatrist | 825 Nicollet Mall Ste 300, Minneapolis, MN 55402-2610 | 2013-05-06 |
| 1114183894 | Lisa Lee Cummings | Podiatrist | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2008-08-01 |
| 1972784668 | Calandra D Theisen | Podiatrist | 2600 39th Ave Ne, Suite 250, Minneapolis, MN 55421-4379 | 2007-11-21 |
| 1588856546 | Marlene Bonilla Alicea | Podiatrist | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439 | 2007-08-14 |
| 1528287414 | Michael Alan Reid | Podiatrist | 2849 Johnson St Ne, Minneapolis, MN 55418-3055 | 2007-04-25 |
| 1053438648 | Advanced Foot Care Clinic,ltd | Podiatrist | 825 Nicollet Mall, Suite 601, Minneapolis, MN 55402-2606 | 2007-03-26 |
| 1922015346 | Joseph Paul Schuster | Podiatrist | 2512 South 7th Street, First Floor, R102, University Orthopeadics, Minneapolis, MN 55454 | 2006-08-01 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on DR. SEAN THAYER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.