Heather Sue Thole, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME82918 Issued in FL

Practice address

11948 Balm Riverview Rd
Riverview, FL 33569-6601

Phone

(813) 236-9000

Fax

(813) 236-9002

NPI assigned

Oct 11, 2005

Last updated

Aug 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Weecare for Kids PA

  • Pediatrics Physician
  • Riverview, FL
  • NPI 1144636861
  NPD (past) Authorized official
• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1033107388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11948 BALM RIVERVIEW RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335696601",
            "telephone_number": "813-236-9000",
            "fax_number": "813-236-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11948 BALM RIVERVIEW RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335696601",
            "telephone_number": "813-236-9000",
            "fax_number": "813-236-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOLE",
        "first_name": "HEATHER",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME82918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262411700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandro Theodore, PHYSICIAN ASSISTANT
• Therapy and Sports Center, Inc.
• THHC Labs
• Ania Seoane Thierry, M.S., CCC-SLP
• Thiru S. Arasu M.D., P.a.
• Alicia Maria Thomas, ED.D
• Anita Thomas, LICENSED MASSAGE THE
• Cheetara Thomas, CPT,CNA
• Monekka Patrice Thomas, MSN, NP-C
• Olivia Thomas

• Pediatrics Physician in Riverview, FL
• Providers in Riverview, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.