KELLY THIBERT (NPI# 1255864906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255864906 |
| Entity Type | Individual |
| Full Name | KELLY THIBERT |
| Credential | DO, MPH |
| Practice Address |
1720 Manatee Ave E Bradenton FL 34208-1452 |
| Mailing Address |
290 E. Town Street Columbus OH 43215-4602 |
| Practice Telephone | 9412162878 |
| Practice Fax Number | 9412167337 |
| Mailing Telephone | 6147885400 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS17069 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2030 Stringtown Rd, Grove City, OH 431233993 | 6145660987 |
| Street Address |
1720 MANATEE AVE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508849829 | Luis A. Urrutia | Family Medicine | 1720 Manatee Ave E, Bradenton, FL 34208-1452 | 2005-11-21 |
| 1780150367 | Matthew Ryan Higgins | Nurse Practitioner | 1720 Manatee Ave E, Bradenton, FL 34208-1452 | 2018-10-22 |
| 1275064149 | Gary Michael Strobl Jr. | Family Medicine | 1720 Manatee Ave E, Bradenton, FL 34208-1452 | 2017-03-22 |
| 1790106516 | Claudia Hoefferle | Physician Assistant | 1720 Manatee Ave E, Bradenton, FL 34208-1452 | 2013-12-20 |
| 1780872242 | Doctors of Manatee | Legal Medicine | 1720 Manatee Ave E, Bradenton, FL 34208-1452 | 2007-10-10 |
| 1164509410 | Bindu S. Nair | Pediatrics | 1720 Manatee Ave E, Bradenton, FL 34208-1452 | 2006-11-01 |
| 1235214438 | Mcr Health, Inc. | Obstetrics & Gynecology | 1720 Manatee Ave E, Bradenton, FL 34208-1452 | 2006-10-26 |
| 1346338316 | Karen L Jacobs | Family Medicine | 1720 Manatee Ave E, Bradenton, FL 34208-1452 | 2006-10-11 |
| 1942397690 | Francisco A Estevez | Family Medicine | 1720 Manatee Ave E, Bradenton, FL 34208-1452 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797737 | Rhc Bradenton LLC | Family Medicine | 4502 Cortez Rd W Ste 301a, Bradenton, FL 34210-3124 | 2020-10-13 |
| 1265075261 | Lifestream Family Medicine P.a. | Family Medicine | 1957 Worth Court, Bradenton, FL 34211 | 2019-10-22 |
| 1386201408 | Amado Castellon | Family Medicine | 822 62nd Street Cir E Ste 102, Bradenton, FL 34208-6208 | 2019-05-23 |
| 1316410475 | Open Access Urgent Care | Family Medicine | 1838 Rye Rd Ste 107, Bradenton, FL 34212-9038 | 2019-01-10 |
| 1699219113 | Lakewood Ranch Primary Care Associates | Family Medicine | 822 62nd Street Cir E, Suite 102, Bradenton, FL 34208-6208 | 2016-12-19 |
| 1346633708 | Cortez Knee and Sports Medicine, LLC | Family Medicine | 6203 Cortez Rd W, Bradenton, FL 34210-2602 | 2015-03-10 |
| 1699163808 | Florida Medical Specialists LLC | Family Medicine | 6110 State Road 70 East, Bradenton, FL 34203 | 2014-12-23 |
| 1679984561 | Ofelia Alessandra Lopez | Family Medicine | 1911 83rd St Nw, Bradenton, FL 34209-9753 | 2014-05-13 |
| 1558655191 | Victor Lee Kim | Family Medicine | 8614 E State Road 70 Ste 200, Bradenton, FL 34202-3710 | 2011-05-31 |
| 1255663126 | Mcr Health, Inc. | Family Medicine | 1649 1st St, Bradenton, FL 34208-3231 | 2010-02-03 |
| Find all providers in BRADENTON | ||||
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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.