Active NPI
Robert James Thoemke, PA
- Medical Physician Assistant
- McQueeney, TX
National Provider Identifier
1285631093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA00945
- Practice address
- 3556 FM 78
MC Queeney, TX 78123-3537 - Phone
- (830) 560-2813
- Fax
- (830) 560-2812
- NPI assigned
- Jul 7, 2005
- Last updated
- Jan 20, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00945 | TX | Primary |
Addresses
Primary practice location
3556 FM 78
MC Queeney, TX 78123-3537
Mailing address
8637 Fredericksburg Rd
Suite 105
San Antonio, TX 78240-1283
Phone (210) 949-4179
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00945 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HMG Medical Group, P.a. | Past | Accepting new patients | |
| HMG Medical Group | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1952309585
-
- Adult Medicine Physician
- San Antonio, TX
- NPI 1720298367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1285631093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8637 FREDERICKSBURG RD",
"address_2": "SUITE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401283",
"telephone_number": "210-949-4179",
"fax_number": "210-617-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3556 FM 78",
"city": "MC QUEENEY",
"state": "TX",
"postal_code": "781233537",
"telephone_number": "830-560-2813",
"fax_number": "830-560-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOEMKE",
"first_name": "ROBERT",
"middle_name": "JAMES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA00945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McQueeney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.