Active NPI
Ben Thebaut, M.D.
- Orthopaedic Hand Surgery Physician
- West Palm Beach, FL
National Provider Identifier
1255352787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- ME20057
- Practice address
- 2580 Metrocentre Blvd
Suite 1
West Palm Beach, FL 33407-3100 - Phone
- (561) 684-2022
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | ME20057 | FL | Primary |
Addresses
Primary practice location
2580 Metrocentre Blvd
Suite 1
West Palm Beach, FL 33407-3100
Mailing address
PO Box 11
Jupiter, FL 33468-0011
Phone (561) 748-2889
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME20057 | FL | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Orthopaedic Institute PA | Hand Surgery | Past | Accepting new patients |
| Thebaut Consulting Inc., Dba Palm Beach Hand | Hand Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Palm Beach Gardens, FL
- NPI 1184796245
Hand Surgery
-
- Orthopaedic Hand Surgery Physician
- Jupiter, FL
- NPI 1780900449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1255352787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11",
"city": "JUPITER",
"state": "FL",
"postal_code": "334680011",
"telephone_number": "561-748-2889",
"fax_number": "561-748-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 METROCENTRE BLVD",
"address_2": "SUITE 1",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073100",
"telephone_number": "561-684-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEBAUT",
"first_name": "BEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "FL",
"license": "ME20057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.