Leslie W Thien, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

080623 Issued in MO

Practice address

10448 Old Olive Street Rd
Suite 100
Creve Coeur, MO 63141-5924

Phone

(314) 743-8098

NPI assigned

Nov 18, 2005

Last updated

May 21, 2008By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Central Illinois Associates LTD

  • Pain Medicine (Anesthesiology) Physician
  • Decatur, IL
  • NPI 1558425462
  NPD (past)
• Piasa Anesthesia LLC

  • Pain Medicine Physician
  • Alton, IL
  • NPI 1013958461

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1346222783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13523 BARRETT PARKWAY DR",
            "address_2": "SUITE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213802",
            "telephone_number": "314-775-2816",
            "fax_number": "314-775-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 OLD OLIVE STREET RD",
            "address_2": "SUITE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415924",
            "telephone_number": "314-743-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEN",
        "first_name": "LESLIE",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "080623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00307916",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915233126",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Dental Offices of Jaron Wedding D.D.S., M.S.D., and Richard Orrick (Creve Coeur Endodontics)
• The Lasik Vision Institute LLC
• The Neuropsychology Center of St. Louis
• Latonya Thedford
• Therapeutic Solutions, LLC
• Thinkwell Counseling LLC
• Thomas S. Lipsitz, PH.D., Inc.
• Larry Wilson Thomas, D.D.S.
• Three Rivers Medicine LLC
• Erik P Thyssen, MD

• Certified Registered Nurse Anesthetist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.