John Hollister Thacher (NPI# 1205962032, PAC ID# 4486784006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1205962032 |
| PAC ID by PECOS | 4486784006 |
| Professional Enrollment ID | I20100608000864 |
| Full Name | John Hollister Thacher |
| Address |
227 N Dos Caminos Ave Ventura CA 93003-1660 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050394 | COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA |
| Address | Phone | Organization |
|---|---|---|
| 115 Pirie Rd, Suite F, Ojai, CA 93023-3100 | ||
| 227 N Dos Caminos Ave, Ventura, CA 93003-1660 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% |
| Street Address |
227 N DOS CAMINOS AVE |
| City | VENTURA |
| State | CA |
| Zip | 93003-1660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher Robert Skromme | Optometry | 801 S Victoria Ave, Suite 206 Two Trees Optometry, Ventura, CA 93003-0401 | |
| Susan M Roney | Nurse Practitioner | 1290 Sunnycrest Ave, Ventura, CA 93003-1213 | |
| Judy S Scott I | Clinical Social Worker | 899 Via Arroyo, Ventura, CA 93003-1318 | |
| Margaret A Peterson | Family Medicine | 2895 Loma Vista Rd E, Ventura, CA 93003-1522 | |
| John Floryan | Optometry | 2895 Loma Vista Rd, A, Ventura, CA 93003-1522 | |
| Lindsay Oliver | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Maria Margarida Guerra Larson | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Michael C Bishop | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Sara E Rodriguez | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Vika Preddy | Physical Therapy | Two Trees Physical Therapy and Wellness Inc | 2895 Loma Vista Rd, Suite H, Ventura, CA 93003-1542 |
| Find all physicians in zip 93003 | |||
| City | VENTURA |
| Zip Code | 93003 |
| Specialty | DERMATOLOGY |
| City + Specialty | VENTURA + DERMATOLOGY |
Please comment or provide details below to improve the information on John Hollister Thacher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.