Thor William Van Diver, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME88143 Issued in FL

Practice address

701 6TH St S
St Petersburg, FL 33701-4814

Phone

(727) 823-2188

Fax

(727) 828-0723

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.8 of 100Reported as group

Quality

99.47

Improvement activities

40

Cost

83.62

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ams National LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1316330830
  Medicare reassignment NPD
• Anesthesia & Pain Consultants of SW FL

  • Specialist
  • Fort Myers, FL
  • NPI 1609843275
  Medicare reassignment NPD
• Feinerman Anesthesia PA

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1821327628
  Medicare reassignment NPD
• James G Hankerson PA

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1235332354
  Medicare reassignment NPD
• Sarasota Anesthesia Services LLC

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1689857393
  Medicare reassignment NPD
• Tampa Bay Surgery Center Associates LTD

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1790866036
  Medicare reassignment NPD
• US Anesthesia Partners of Florida Inc.

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520
  Medicare reassignment NPD
• American Anesthesiology Services of Florida, Inc.

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1508318387

  FL

  Medicare reassignment NPD
• Spartan Anesthesia Associates PA

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1710975636
  Medicare reassignment
• Anesthesiology Professional Services, Inc.

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1902856891
  NPD
• Sarasota Ambulatory Surgery Center LTD

  • Ambulatory Surgical Clinic/Center
  • Sarasota, FL
  • NPI 1740230523
  NPD
• Tampa Bay Surgery Center Associates LTD

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
  • NPI 1538664644
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1023061934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22005",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337422005",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014814",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DIVER",
        "first_name": "THOR",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME88143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR LINKED TO GRP# CF4811",
            "identifier": "P00407541",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268026200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "81367",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Alvin Valverde, DC
• Jennifer M. Van Allen, LMHC
• George F. Van Buskirk, M.D.
• Tamara Van de Star, MD
• Alexandra Van Der Weyden, MD
• Tina Louise Van Doren, ARNP, CPNP-PC, MSN
• Tessa Marie Van Haaren
• Rachel Van Kirk
• Kristi Sands Van Sickle, PSY.D.
• Bryan Michael Van Vranken, RMHCI

• Anesthesiology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.