KIM THIELE, DO, PC (NPI# 1972894418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972894418 |
| Entity Type | Organization |
| Organization Name | KIM THIELE, DO, PC |
| Practice Address |
105 Trading Bay Dr Suite 105 Kenai AK 99611-7717 |
| Practice Telephone | 9072429000 |
| Mailing Telephone | 9072429000 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | DR. KIM E THIELE (EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9072429000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
4125 | AK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD41253 | 05 |
| Street Address |
105 TRADING BAY DR SUITE 105 |
| City | KENAI |
| State | AK |
| Zip Code | 99611-7717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1477029767 | Pacific Pediatrics, LLC | Clinic/Center | 3137 Tongass Ave # C, Ketchikan, AK 99901-5745 | 2018-10-15 |
| 1457865271 | Vera Whole Health Inc | Clinic/Center | 1450 Muldoon Rd, Anchorage, AK 99504-2820 | 2017-12-01 |
| 1902352206 | Lacuna Family Medicine, Inc. | Clinic/Center | 204 4th Ave, Seward, AK 99664 | 2016-08-28 |
| 1619333788 | Earthsong Integrative Medicine and Midwifery, LLC | Clinic/Center | 223 Gold St Uppr Unit, Juneau, AK 99801-1210 | 2016-01-05 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1780079749 | John D. Zipperer Jr Md, LLC | Clinic/Center | 2110 E. Northern Lights Blvd., Suite 102, Anchorage, AK 99508 | 2015-04-06 |
| 1467874933 | Now Health, LLC | Clinic/Center | 625 Cobb Street, Suite 201, Palmer, AK 99645 | 2014-01-17 |
| 1609173798 | M. Jane Moore, Md. LLC. | Clinic/Center | 3260 Providence Dr Ste 526, Anchorage, AK 99508-4608 | 2011-02-25 |
| 1821304379 | Manuka Health Clinic, LLC | Clinic/Center | 3685 Arctic Blvd, Anchorage, AK 99503-5704 | 2010-08-23 |
| 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.