DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. MARK WALTER THIEMANN P.A.C.

MEDICARE:  MR. MARK WALTER THIEMANN  P.A.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant50-00-0882OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2PA-P00919620OTHEROHMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386634046
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK WALTER THIEMANN P.A.C.
Provider Business Mailing Address
First Line : 3301 MERCY HEALTH BLVD STE 450
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-1106
Country : US
Telephone Number : 513-347-9999
Fax Number : 513-215-9397
Provider Business Practice Location Address
First Line : 3301 MERCY HEALTH BLVD STE 450
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-1106
Country : US
Telephone Number : 513-347-9999
Fax Number : 513-215-9397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 08/19/2024

Similar Medicare Providers

1124971494 — JULIE FELDKAMP APRN
Practice Location Address:
3301 MERCY HEALTH BLVD STE 365
CINCINNATI, OH
45211-1106
Practice Phone: 513-758-1170
Practice Fax: 513-389-0784
1649546748 — MOSES WANANU MD
Practice Location Address:
3301 MERCY HEALTH BLVD STE 125
CINCINNATI, OH
45211-1106
Practice Phone: 513-215-9200
Practice Fax: 513-215-9259
1487653184 — SYED ZUBAIR HAQ MD
Practice Location Address:
3301 MERCY HEALTH BLVD STE 125
CINCINNATI, OH
45211-1106
Practice Phone: 513-215-9200
Practice Fax: 513-215-9259
1376542936 — ABHIJIT N DESAI MD
Practice Location Address:
3301 MERCY HEALTH BLVD STE 125
CINCINNATI, OH
45211-1106
Practice Phone: 513-215-9200
Practice Fax: 513-215-9259
1174579510 — TIMOTHY BRENNAN M.D.
Practice Location Address:
3301 MERCY HEALTH BLVD STE 125
CINCINNATI, OH
45211-1106
Practice Phone: 513-215-9200
Practice Fax: 513-215-9259
1578500633 — CHERYL ANN DAVIS NP
Practice Location Address:
3301 MERCY HEALTH BLVD STE 285
CINCINNATI, OH
45211-1106
Practice Phone: 513-215-9457
Practice Fax: 513-215-9458

Directions to “ MR. MARK WALTER THIEMANN P.A.C.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.