DR. DERRICK DANIEL THIEL (NPI# 1164510566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164510566 |
| Entity Type | Individual |
| Full Name | DR. DERRICK DANIEL THIEL |
| Credential | D.O. |
| Practice Address |
214 Morrison Rd Suite 104 Brandon FL 33511 |
| Practice Telephone | 8136816474 |
| Practice Fax Number | 8136819092 |
| Mailing Telephone | 8136816474 |
| Mailing Fax Number | 8136819092 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | UO1132 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
OS9317 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 145RC | 01 | |
| FL | 001937700 | 05 | |
| FL | 1937700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174936181 | Derrick Thiel | Family Medicine | 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2014-06-06 |
| Street Address |
214 MORRISON RD SUITE 104 |
| City | BRANDON |
| State | FL |
| Zip Code | 33511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184667198 | Jose Emilio Vasquez | Internal Medicine | 214 Morrison Rd, Suite 104, Brandon, FL 33511-4849 | 2006-06-14 |
| 1720631419 | Erica Walker | Pharmacist | 214 Morrison Rd, Brandon, FL 33511-4849 | 2019-07-22 |
| 1588901482 | Tampa General Medical Group Inc | Pediatrics | 214 Morrison Rd, Suite 110, Brandon, FL 33511-4849 | 2013-01-11 |
| 1003142555 | Joanna G Ramirez | Internal Medicine | 214 Morrison Rd, Ste 110, Brandon, FL 33511-4849 | 2009-10-19 |
| 1134372261 | Julia O'malley | Physician Assistant | 214 Morrison Rd, Brandon, FL 33511-4849 | 2008-11-03 |
| 1952564858 | Yamil Miranda-usua | Family Medicine | 214 Morrison Rd, Ste 110, Brandon, FL 33511-4849 | 2008-07-10 |
| 1265629042 | Philippe Robert Chain | Family Medicine | 214 Morrison Rd, Suite 110, Brandon, FL 33511-4849 | 2007-09-26 |
| 1194809152 | Enid Klauber | Internal Medicine | 214 Morrison Rd, Suite 104, Brandon, FL 33511 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093748428 | Jose Ramon Prieto | Internal Medicine | 214 Morrison Rd Ste 104, Brandon, Brandon, FL 33511-4849 | 2006-07-09 |
| 1184667198 | Jose Emilio Vasquez | Internal Medicine | 214 Morrison Rd, Suite 104, Brandon, FL 33511-4849 | 2006-06-14 |
| 1689708844 | Jose R Prieto Md Pa | Internal Medicine | 214 Morrison Rd Ste 104, Brandon, FL 33511-4849 | 2007-03-16 |
| 1194809152 | Enid Klauber | Internal Medicine | 214 Morrison Rd, Suite 104, Brandon, FL 33511 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659002 | Sq2 Medical Pllc | Internal Medicine | 13172 N Dale Mabry Hwy, Tampa, FL 33618-2406 | 2020-11-02 |
| 1750998654 | Marian Infectious Disease Pllc | Internal Medicine | 10174 Belcrest Blvd, Fort Myers, FL 33913-2607 | 2020-09-25 |
| 1356957146 | Nathaniel Duke Md Pa | Internal Medicine | 825 Sunflower Cir, Weston, FL 33327-2112 | 2020-09-17 |
| 1538771803 | Infectious Disease Medical Care Pa | Internal Medicine | 5258 Linton Blvd Ste 203, Delray Beach, FL 33484-6529 | 2020-08-18 |
| 1659998573 | Aids Healthcare Foundation | Internal Medicine | 4308 Alton Rd # 950960, Miami Beach, FL 33140-4556 | 2020-06-26 |
| 1063031524 | Overflow Health Alliance Inc | Internal Medicine | 3416 Moncrief Rd # 101, Jacksonville, FL 32209-4340 | 2020-04-14 |
| 1366076515 | Kielle Medical Limited Liability Company | Internal Medicine | 5988 Duckweed Rd, Lake Worth, FL 33449-5810 | 2020-02-26 |
| 1538709993 | First Class Medicine LLC | Internal Medicine | 4699 Fox View Pl, Lake Worth, FL 33467-3540 | 2020-01-13 |
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1881162402 | Lisa Jeanne Sanders | Internal Medicine | 1315 E 7th Ave Ste 104, Tampa, FL 33605-3606 | 2018-11-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.