Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawn A Thayer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679223978

Shawn A Thayer is a Student in an Organized Health Care Education/Training Program in Columbia, Missouri. Practices as a sole proprietor and works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1 Hospital Dr
Columbia, MO 65212-3983
Phone: (573) 882-8091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Mullins Dr, Lebanon, OR 97355-3983 — (541) 259-0235

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2024022609 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679223978
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2022
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address5 Hospital Drive, Columbia, MO 65212-3983

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