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GREGORY THATCHER MD
NPI 1124054150
Family Medicine in Shawano, WI

Active since June 23, 2006
100 COUNTY ROAD B, SHAWANO, WI 54166(715) 524-2161(715) 524-8164 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory Thatcher Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY THATCHER MD (NPI 1124054150) is an individual family medicine provider in Shawano, Wisconsin, licensed in Wisconsin (22550) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1124054150
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY THATCHERCredential: MD
Location Address100 COUNTY ROAD BShawano, WI 54166-7072
Mailing AddressPo Box 8003Appleton, WI 54912-8003 · (920) 996-3298 · Fax (920) 738-5787
Phone(715) 524-2161
Fax(715) 524-8164
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateJanuary 26, 2012
✔ NPI 1124054150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 22550
Definition

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.

100 COUNTY ROAD B, Shawano, WI 54166
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Other Identifiers 2

Medicare UPINB57102
Medicaid30277900WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOPKO STORES OPERATING CO., LLC
Pharmacy (Community/Retail Pharmacy)
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (920) 429-4726
MR. DAVID A KLOSS M.D.
Surgery
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
DR. MINDY MARIA FRIMODIG DO
Family Medicine
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
CAROLYN ANNE FLOOD OTR/L
Occupational Therapist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-7370
WILL GILLIS PHARMD
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-3456
RACHEL NAULT PHARMD
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
ALEXIS VANDEHEY
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (920) 203-0630
JENNA J MULDER
Physician Assistant
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-2111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Thatcher's NPI number?

The NPI number for Gregory Thatcher is 1124054150. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Gregory Thatcher located?

Gregory Thatcher practices at 100 County Road B, Shawano, WI 54166. The listed phone number is (715) 524-2161.

What is Gregory Thatcher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gregory Thatcher was last updated on January 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.