| John O Thayer Jr, MD | |
|
1000 Asylum Ave, Ste 3201a, Hartford, CT 06105-1770 | |
| (860) 714-1094 | |
| (860) 714-8850 |
| Full Name | John O Thayer Jr |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 1000 Asylum Ave, Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942293956 | NPI | - | NPPES |
| 001280817 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 028081 (Connecticut) | Primary |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Mailing Address | Practice Location Address |
|---|---|
| John O Thayer Jr, MD 1000 Asylum Ave, Ste 3201a, Hartford, CT 06105-1770 Ph: (860) 714-1094 | John O Thayer Jr, MD 1000 Asylum Ave, Ste 3201a, Hartford, CT 06105-1770 Ph: (860) 714-1094 |
Dr. Jason Zakko, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 80 Seymour Street, Cardiac Surgery, Hartford, CT 06102 Phone: 860-696-5520 | |
Ayyaz A Ali, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St Ste 919, Hartford, CT 06106 Phone: 860-696-5520 | |
Randy Michael Stevens, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9400 | |
Jonathan A Hammond Jr., MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St, Suite 725, Hartford, CT 06106 Phone: 860-524-5905 Fax: 860-522-3951 | |
Hiroyoshi Takata, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 85 Seymour St, Suite 325, Hartford, CT 06106 Phone: 860-522-7181 Fax: 860-278-3357 | |
Paul L Preissler, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St, Suite 725, Hartford, CT 06106 Phone: 860-524-5905 Fax: 860-522-3951 | |
Dr. David Warner Yaffee, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 85 Seymour St Ste 919, Hartford, CT 06106 Phone: 860-696-5520 Fax: 860-522-3951 |