MARK A THIELE (NPI# 1992708523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992708523 |
| Entity Type | Individual |
| Full Name | MARK A THIELE |
| Credential | PA-C |
| Practice Address |
1223 Willow Creek Rd Prescott AZ 86301-1427 |
| Practice Telephone | 9287779950 |
| Practice Fax Number | 9287779975 |
| Mailing Telephone | 9287779950 |
| Mailing Fax Number | 9287779975 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2017-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4659 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 782816 | 05 | |
| FL | 291957500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994653 | Mark Benjamin Thiele | Dentist | 301 State Ave Sw, Warroad, MN 56763-2623 | 2015-06-09 |
| 1467593715 | Mark R. Thiele | Family Medicine | 1200 Gulf Breeze Pkwy Ste B, Gulf Breeze, FL 32561 | 2007-02-09 |
| Street Address |
1223 WILLOW CREEK RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942784632 | Megan Sitrin | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2018-09-19 |
| 1427530690 | Kristen M Ayres | Physical Therapist | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2018-09-04 |
| 1699063743 | Evan Nicholas Simonson | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2011-07-11 |
| 1831408384 | Granite Orthopaedics Pllc | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2010-10-01 |
| 1891014353 | Deborah Moon | Physical Therapist | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2010-05-24 |
| 1538498928 | Michael Colby Dobson | Physician Assistant | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2009-12-14 |
| 1245473537 | Richard Keith Bassett | Specialist | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2009-04-16 |
| 1134389232 | Wilford Lee Richardson | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2008-06-11 |
| 1598764755 | Lydia Lea Christesen | Occupational Therapist | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2005-07-20 |
| 1386647998 | Paul Christian Pflueger | Orthopaedic Surgery | 1223 Willow Creek Rd, Prescott, AZ 86301-1427 | 2005-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598046070 | Landon Keith Stribe | Physician Assistant | 726 Gail Gardner Way Ste B, Prescott, AZ 86305-2316 | 2011-08-29 |
| 1841303690 | Samuel Clark Reid-mckee | Physician Assistant | Navahcs 500 North Hwy 89, Prescott, AZ 86313 | 2006-08-16 |
| 1922037431 | Dawn Annette Garcia | Physician Assistant | 3769 Crossings Dr Ste D, Prescott, AZ 86305-7121 | 2006-06-30 |
| 1962459040 | Kristine A Weaver-miller | Physician Assistant | 811 Ainsworth Dr Ste 109, Prescott, AZ 86301 | 2006-05-27 |
| 1952387813 | Karen Lynn Raffensperger | Physician Assistant | Medical Services of Prescott, 1003 Willow Creek Road, Prescott, AZ 86301 | 2005-12-21 |
| 1609862275 | Maria Therese Boedigheimer | Physician Assistant | 3120 Clearwater Dr, Prescott, AZ 86305-7131 | 2005-09-20 |
| 1376027540 | Lizette Leach | Physician Assistant | 3655 Crossings Dr, Prescott, AZ 86305-7101 | 2018-09-24 |
| 1215455886 | Madison Smith | Physician Assistant | 1090 Commerce Dr, Prescott, AZ 86305 | 2017-09-05 |
| 1245774397 | Stephen Green | Physician Assistant | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2016-12-08 |
| 1093258014 | Victoria Wood | Physician Assistant | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2016-11-22 |
| Find all providers in PRESCOTT | ||||
Please comment or provide details below to improve the information on MARK A THIELE.
| 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.