TIM THISTLETHWAITE, M.D. PLLC (NPI# 1386738508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386738508 |
| Entity Type | Organization |
| Organization Name | TIM THISTLETHWAITE, M.D. PLLC |
| Practice Address |
100 Peyton Way Suite 100 Charleston WV 25309-8767 |
| Practice Telephone | 3042055207 |
| Practice Fax Number | 3042055318 |
| Mailing Telephone | 3042055207 |
| Mailing Fax Number | 3042055318 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-10-04 |
| Authorized Official Name | DR. TIM L THISTLETHWAITE (OWNER) |
| Authorized Official Telephone | 3042055207 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
1225 | WV | Behavioral Health & Social Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
17498 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
100 PEYTON WAY SUITE 100 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25309-8767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851328116 | Cynthia H Mccall | Counselor | 100 Peyton Way, Charleston, WV 25314 | 2006-06-26 |
| 1346435799 | Heather Eastwood | Chiropractor | 100 Peyton Way, Suite 201, Charleston, WV 25309 | 2007-09-10 |
| 1699960351 | Southridge Advanced Chiropractic | Chiropractor | 100 Peyton Way, Suite 201, Charleston, WV 25309-8572 | 2007-09-06 |
| 1912076639 | Douglas L Jackson | Nurse Anesthetist, Certified Registered | 100 Peyton Way, Suite 200, Charleston, WV 25309-8572 | 2006-11-07 |
| 1831284116 | Timothy Lawrence Thistlethwaite | Psychiatry & Neurology | 100 Peyton Way, Suite 100, Charleston, WV 25309-8767 | 2006-10-04 |
| 1295839389 | Jody Ryan Eastwood | Chiropractor | 100 Peyton Way, Suite 201, Charleston, WV 25309-8572 | 2006-09-11 |
| 1306857743 | Julie Ann Sayre | Nurse Anesthetist, Certified Registered | 100 Peyton Way, Suite 200, Charleston, WV 25309-8767 | 2006-08-10 |
| 1083639421 | Rebecca Oyler Sullivan | Registered Nurse | 100 Peyton Way, Ste 200, Charleston, WV 25309-8767 | 2006-07-13 |
| 1245265206 | David Lee Caraway | Anesthesiology | 100 Peyton Way, Ste 200, Charleston, WV 25309-8767 | 2006-07-11 |
| 1497787501 | Gale A Thompson | Psychologist | 100 Peyton Way, Charleston, WV 25314 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825484 | Amelia Katherine Watson | Psychiatry & Neurology | 2 Ehrhardt Street, Msc 861, Charleston, SC 29495 | 2020-06-10 |
| 1396306767 | Charles Francis Palmer IIi | Psychiatry & Neurology | 2 Ehrhardt St, Charleston, SC 29425-0001 | 2019-06-25 |
| 1235798299 | Amanda Kate Allen | Psychiatry & Neurology | 861 Msc, Charleston, SC 29425-1009 | 2019-06-12 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| 1063907566 | Ayodeji Yetunde Metiko | Psychiatry & Neurology | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2018-06-27 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1700315090 | Patrick Robbins | Psychiatry & Neurology | 67 President Street Musc Health Institute Of, Charleston, SC 29425-0001 | 2017-06-08 |
| 1770016016 | Lucas Jacob Rosenblatt | Psychiatry & Neurology | 46 Montagu St Apt B, Charleston, SC 29401-6709 | 2017-04-04 |
| 1245685064 | Ann Marie Decker Frederick | Psychiatry & Neurology | 2 Ehrhardt Street Msc 861, Charleston, SC 29425-1020 | 2016-04-29 |
| 1659768620 | David Michael Allen | Psychiatry & Neurology | 1460 Tobias Gadson Blvd Ste 180, Charleston, SC 29407 | 2015-04-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25309 |
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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.