David Thao (NPI# 1679829212, PAC ID# 6709195126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1679829212 |
| PAC ID by PECOS | 6709195126 |
| Professional Enrollment ID | I20160906000262 |
| Full Name | David Thao |
| Organization Legal Name | KATAHDIN VALLEY HEALTH CENTER |
| Address |
30 Houlton St Patten ME 04765-3035 |
| Phone Number | 2075282285 |
| Gender | M |
| Medical School | COLLEGE PODIATRIC MEDICINE AND SURGERY UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4880659903 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 201308 | HOULTON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 30 Houlton St, Patten, ME 04765-3035 | 2075282285 | KATAHDIN VALLEY HEALTH CENTER |
| Organization Legal Name | KATAHDIN VALLEY HEALTH CENTER |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Marie Long | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Ross A Levesque | Physical Therapy | Katahdin Valley Health Center | 529 S Patten Rd, Patten, ME 04765-3007 |
| Richard T Chin | Optometry | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Danhong Zhao | Psychiatry | Katahdin Valley Health Center | 180 Main Rd, Brownville, ME 04414-3107 |
| Jaymie F St. Peter | Nurse Practitioner | Katahdin Valley Health Center | 33 Walker St, Ashland, ME 04732-3429 |
| Henry J Roy Iii | Internal Medicine | Katahdin Valley Health Center | 50 Summer St, Millinocket, ME 04462-1400 |
| Nicki Larrabee | Nurse Practitioner | Katahdin Valley Health Center | 59 Bangor St, Houlton, ME 04730-1740 |
| Jean M Hamlin | Family Medicine | Katahdin Valley Health Center | 180 Main Rd, Brownville, ME 04414-3107 |
| Lee M Malvin | Clinical Social Worker | Katahdin Valley Health Center | 50 Summer St, Millinocket, ME 04462-1400 |
| Porsche D.a Holcomb | Clinical Social Worker | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Street Address |
30 HOULTON ST |
| City | PATTEN |
| State | ME |
| Zip | 04765-3035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard T Chin | Optometry | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Porsche D.a Holcomb | Clinical Social Worker | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Ronald D Ouellette | Chiropractic | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Shelly A Walter | Nurse Practitioner | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Scott D Wheeler | Optometry | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Brownson O Irondi | Nurse Practitioner | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Michael Farrell | Chiropractic | Katahdin Valley Health Center | 30 Houlton St, Patten, ME 04765-3035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ross A Levesque | Physical Therapy | Katahdin Valley Health Center | 529 S Patten Rd, Patten, ME 04765-3007 |
| Rose M Fuchs | Family Medicine | 17 Founders St, Patten, ME 04765-3080 |
| City | PATTEN |
| Zip Code | 04765 |
| Specialty | PODIATRY |
| City + Specialty | PATTEN + PODIATRY |
Please comment or provide details below to improve the information on David Thao.
| 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.