Individual provider Active NPI

Joyce F Thies, PA

  • Medical Physician Assistant
  • Zephyrhills, FL
National Provider Identifier
1366488744
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9101910 Issued in FL
Practice address
38240 Daughtery Rd
Zephyrhills, FL 33540-1367
Phone
(813) 788-3582
Fax
(813) 780-6707
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9101910 FL Primary

Addresses

Primary practice location

38240 Daughtery Rd
Zephyrhills, FL 33540-1367

Mailing address

38240 Daughtery Rd
Zephyrhills, FL 33540-1367
Phone (813) 788-3582

Other identifiers 2

IdentifierTypeStateIssuer
970024231OtherRAILROAD MEDICARE
291351800MedicaidFL

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101910FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Zephyrhills Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1366488744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38240 DAUGHTERY RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401367",
            "telephone_number": "813-788-3582",
            "fax_number": "813-780-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38240 DAUGHTERY RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401367",
            "telephone_number": "813-788-3582",
            "fax_number": "813-780-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIES",
        "first_name": "JOYCE",
        "middle_name": "F",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970024231",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291351800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.