Scott Daniel Forde Thielen, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

19600 Issued in MN

Practice address

5435 Feltl Rd
Minnetonka, MN 55343-7983

Phone

(952) 892-2021

NPI assigned

May 8, 2008

Last updated

May 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Essentia Health Moose Lake

  • Critical Access Hospital
  • Moose Lake, MN
  • NPI 1154959880
  Medicare reassignment NPD
• Healthpartners RC

  dba Olivia Hospital & Clinic

  • Critical Access Hospital
  • Olivia, MN
  • NPI 1629091871
  Medicare reassignment NPD
• Healthpartners RC

  dba Olivia Hospital & Clinic

  • Critical Access Hospital Clinic/Center
  • Olivia, MN
  • NPI 1649470782
  Medicare reassignment NPD
• Vohra Post Acute Care Physicians of the East, PA

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1063848968

  MN

  Medicare reassignment NPD
• Pine Medical Center

  dba Essentia Health Sandstone

  • Critical Access Hospital
  • Sandstone, MN
  • NPI 1326041633
  Medicare reassignment
• Essentia Health Moose Lake

  dba Essentia Health Moose Lake Clinic

  • Critical Access Hospital Clinic/Center
  • Moose Lake, MN
  • NPI 1275102048
  NPD
• Moose Lake Community Hospital District

  dba Mercy Hospital

  • Critical Access Hospital
  • Moose Lake, MN
  • NPI 1942398029
  NPD
• Cumberland Memorial Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Cumberland, WI
  • NPI 1730233651
  NPD (past)
• Cumberland Memorial Hospital Inc

  • Critical Access Hospital
  • Cumberland, WI
  • NPI 1831243757
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272758400000",
    "number": "1396911483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 FELTL RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553437983",
            "telephone_number": "952-892-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 FELTL RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553437983",
            "telephone_number": "952-892-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "SCOTT",
        "middle_name": "DANIEL FORDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2010-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "19600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Beth Theisen, RN
• Danielle Marie Thelen, FNP-BC, CPNP-AC
• Therapeutic Intervention Programs, Inc.
• Roxanne N Thiede
• Dawn Thielen
• Bethany Thomas
• Carla Sabrina Thomas, CRNP
• Jodi Thomas
• Tawenna Cooks Thomas, NP-C
• Bianca K Thompson, FNP

• Emergency Medicine Physician in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Emergency Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.