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Active NPI 1568424778 Individual Practitioner Male Practitioner

Dr. Mark L Thayer , MD

Surgery • Grantsburg, WI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Thayer, MD is a registered healthcare professional specializing in Surgery in Grantsburg, WI. Practice services are available at 257 W SAINT GEORGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

257 W Saint George Ave

Grantsburg, WI 548407827

Telephone 7154635353
Fax 7154632753
Associated Practice Facility / Clinic
🏢 Burnett Medical Center Inc Facility NPI 1225191687

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Grantsburg, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Grantsburg, WI (765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 32528

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License WI 32528

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Surgery

NUCC Taxonomy Code: 208600000X

State License MN 31570

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
918723500 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Gretchen Gerovac , NP

Nurse Practitioner - Gerontology

NPI 1124602081

Nurse Practitioner

Debra Hammer , CNM

Advanced Practice Midwife

NPI 1194880955

Certified Nurse Midwife

Abigail Dewitt , PT

Physical Therapist

NPI 1306334321

Physical Therapist

Molly Ilstrup , NP

Nurse Practitioner - Family

NPI 1326634478

Nurse Practitioner

Brittany Pennings

Physical Therapist

NPI 1336590066
NPI 1366500753

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active September 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2017

Registered at 257 W SAINT GEORGE AVE, GRANTSBURG, WI 548407827 (Tel: 7154635353)

📍
Updated Business Mailing Address September 12, 2017

Registered at 257 W SAINT GEORGE AVE, GRANTSBURG, WI 548407827 (Tel: (715) 463-5353)

👤
Provider Name / Credentials Updated September 12, 2017

Recorded as MARK THAYER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Emergency Medicine (License #32528 in WI)

NPI Profile Active March 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2015

Registered at 701 DELLWOOD ST S, CAMBRIDGE, MN 550081920 (Tel: 7636897700)

📍
Updated Business Mailing Address March 26, 2015

Registered at PO BOX 43, MR 10809, MINNEAPOLIS, MN 554400043 (Tel: 6122624813)

👤
Provider Name / Credentials Updated March 26, 2015

Recorded as MARK THAYER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2015

Surgery (License #31570 in MN)

🟢
Initial NPI Registration & Enumeration April 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568424778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

257 W Saint George Ave

Grantsburg, WI 548407827

Phone: 7154635353

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.