Tim Thistlethwaite, M.D. PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17498 Issued in WV

Legal business name

TIM THISTLETHWAITE, M.D. PLLC

Practice address

100 Peyton Way
Suite 100
Charleston, WV 25309-8767

Phone

(304) 205-5207

Fax

(304) 205-5318

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tim L Thistlethwaite, M.D.

Title

Owner

Phone

(304) 205-5207

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dina Kay Thistlethwaite, MA

  • Mental Health Counselor
  • Charleston, WV
  • NPI 1497848139
  Medicare reassignment Care Compare group NPD
• Timothy Lawrence Thistlethwaite, M.D.

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1831284116
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1386738508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEYTON WAY",
            "address_2": "SUITE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253098767",
            "telephone_number": "304-205-5207",
            "fax_number": "304-205-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEYTON WAY",
            "address_2": "SUITE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253098767",
            "telephone_number": "304-205-5207",
            "fax_number": "304-205-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM THISTLETHWAITE, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "THISTLETHWAITE",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-205-5207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1225",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "17498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Tiller
• Nichole Michelle Tillett
• Brittney Tilley
• Kimberly Tilley, MA
• Katrina Rose Tilton, C-NP
• Connie Tincher
• Janell Tincher
• Ruth Tindal, PRSS
• Leah Tingler
• Tammy Tinnel, LPN

• Psychiatry Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.