DYLAN MATTHEW THIEL (NPI# 1376040113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376040113 |
| Entity Type | Individual |
| Full Name | DYLAN MATTHEW THIEL |
| Credential | DO |
| Practice Address |
6000 49th St N St Petersburg FL 33709-2114 |
| Practice Telephone | 7275215057 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6000 49TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275501058 | Jeffrey Lloyd Alcorn | Physician Assistant | 6000 49th St N, St Petersburg, FL 33709-2114 | 2006-03-09 |
| 1225667926 | Kiyoshi Houston | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-04-04 |
| 1518595016 | Joshua Isaac Wais | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2145 | 2020-03-30 |
| 1477181998 | Dana Marie Jorgenson | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-30 |
| 1790312908 | John Hatch Hughes II | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1598392706 | Richard Allen Gorman II | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1669009866 | Michael Ted Liu | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-26 |
| 1679100804 | Cassandra Christine Haggert | Student in an Organized Health Care Education/Training Program | 6000 49th St N, St Petersburg, FL 33709-2145 | 2020-03-26 |
| 1144856105 | Kasey Haskins | Registered Nurse | 6000 49th St N, St Petersburg, FL 33709-2114 | 2020-03-20 |
| 1720623499 | Blakely Austin Deboard | Registered Nurse | 6000 49th St N, St Petersburg, FL 33709-2114 | 2019-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556368 | Jacob Sidney Alexander | Student in an Organized Health Care Education/Training Program | 1663 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-07-27 |
| 1437647641 | Eric William Yuschak | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N Ste 400, St Petersburg, FL 33710-1629 | 2018-04-24 |
| 1164929774 | Omid Roostaeyan | Student in an Organized Health Care Education/Training Program | 700 6th St S Bay Bayfront, St Petersburg, FL 33701-4815 | 2018-04-10 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1083146468 | Tyler Wellman | Student in an Organized Health Care Education/Training Program | 1078 Paseo Del Rio Ne, St Petersburg, FL 33702-1457 | 2017-04-03 |
| 1326592239 | Van Le Nguyen | Student in an Organized Health Care Education/Training Program | 8001 Elbow Ln N, St Petersburg, FL 33710-4323 | 2016-08-09 |
| 1972967453 | Travis Alexander Williams | Student in an Organized Health Care Education/Training Program | 625 13th Ave Ne, St Petersburg, FL 33701-1310 | 2016-04-11 |
| 1437512969 | Weston Wall | Student in an Organized Health Care Education/Training Program | 4655 Waterford Ct Ne, St Petersburg, FL 33703-4948 | 2016-04-01 |
| 1598102329 | Bridget Narvaez | Student in an Organized Health Care Education/Training Program | 2075 Lakewood Club Dr S, Apt. A, St Petersburg, FL 33712-4978 | 2013-06-03 |
| 1205434867 | Diane Rose Bronkema | Student in an Organized Health Care Education/Training Program | 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | 2020-10-15 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
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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.