ANDREW BERNARD THEILEN (NPI# 1457647497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457647497 |
| Entity Type | Individual |
| Full Name | ANDREW BERNARD THEILEN |
| Credential | M.D. |
| Practice Address |
2711 Laclede Station Rd Apt C Maplewood MO 63143-2825 |
| Practice Telephone | 2146819181 |
| Mailing Telephone | 2146819181 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2011017041 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
2711 LACLEDE STATION RD APT C |
| City | MAPLEWOOD |
| State | MO |
| Zip Code | 63143-2825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689164675 | Christina E Thaier | Counselor | 7346 Manchester Rd., #200, Maplewood, MO 63143 | 2018-05-15 |
| 1568828051 | Kathryn Stinson | Counselor | 7346 Manchester Ave, Suite 202, Maplewood, MO 63143 | 2016-01-13 |
| 1235548074 | Peter Schumaker, Lpc | Counselor | 3134 Sutton Blvd., Maplewood, MO 63143 | 2014-08-06 |
| 1194149567 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3210 Laclede Station Rd, St. Louis, MO 63143 | 2014-02-06 |
| 1366043853 | Michael Bopp | Pharmacist | 1900 Maplewood Commons Dr, Pharmacy, Maplewood, MO 63143 | 2020-11-03 |
| 1184122707 | Jillayna Adamson | Counselor | 3134 Sutton Blvd, Maplewood, MO 63143 | 2018-01-29 |
| 1801310123 | Teresa Marie Sorenson | Massage Therapist | 2104 Bellevue Ave, Maplewood, MO 63143 | 2017-07-28 |
| 1629597000 | Dana Rochelle Bertubin | Massage Therapist | 1811 Maplewood Commons Dr, Maplewood, MO 63143-1000 | 2017-09-16 |
| 1245505098 | Nucrown, LLC | Optometrist | 1817 Maplewood Commons Dr, Maplewood, MO 63143-1000 | 2012-03-13 |
| 1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
| Find all providers in zip 63143 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932549474 | Wendy M Chan | Emergency Medicine | 13 Oakland Rd, Maplewood, NJ 07040-2224 | 2013-06-28 |
| 1730137829 | Kai Adam Tuominen | Emergency Medicine | 1655 Beam Avenue, Suite 302 Maplewood Prof Bldg, Maplewood, MN 55109-1126 | 2006-05-04 |
| 1568970051 | Rachel Holen | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-18 |
| 1508395708 | Amy Rachel Borys | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-06-09 |
| 1366971988 | Mary Rochelle Swiggum | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-06-07 |
| 1780035279 | Oliver Garrison | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2016-06-26 |
| 1699137216 | Jeffrey Michael Corajod | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2016-03-23 |
| 1285015347 | Stationmd Professional Corporation | Emergency Medicine | 515 Valley St Ste 203, Maplewood, NJ 07040-4300 | 2015-06-15 |
| 1215323787 | Michael H Bambenek | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2015-04-12 |
| 1811302201 | Elise Heeringa Hart | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2014-06-25 |
| Find all providers in MAPLEWOOD | ||||
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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.