Active NPI
Amy Evan Thimesch, PA-C
- Family Medicine Physician
- Carrollton, TX
National Provider Identifier
1205393196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PA12638
- Practice address
- 4325 N Josey LN
Carrollton, TX 75010-4635 - Phone
- (972) 394-9478
- NPI assigned
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA12638 | TX | Primary |
Addresses
Primary practice location
4325 N Josey LN
Carrollton, TX 75010-4635
Mailing address
4325 N Josey LN Ste 105
Carrollton, TX 75010-4636
Phone (972) 394-9478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12638 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald P. Giometti Jr., M.D. P.a. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Carrollton, TX
- NPI 1164607693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1205393196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 N JOSEY LN STE 105",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104636",
"telephone_number": "972-394-9478",
"fax_number": "972-394-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104635",
"telephone_number": "972-394-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIMESCH",
"first_name": "AMY",
"middle_name": "EVAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "PA12638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.