Scott David Thielbar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05065 Issued in NC

Practice address

214 N. Cleveland Ave
Kings Mountain, NC 28086-3106

Phone

(704) 730-1228

Fax

(704) 730-1231

NPI assigned

Aug 31, 2012

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

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matrix Occupational Health PCGroup PAC ID 2365350220, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Matrix Occupational Health P.C.

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Fayetteville, NC
  • NPI 1144279670
  Medicare reassignment Care Compare group NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  Medicare reassignment
• Halifax Regional Medical Center Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Roanoke Rapids, NC
  • NPI 1992846570
  Medicare reassignment
• Alfred Randall Moss MD PA

  dba Gaffney Family Physicians

  • Adult Medicine Physician
  • Gaffney, SC
  • NPI 1063697894
  Medicare reassignment
• Caromont Medical Group Inc

  dba CaroMont Family Medicine

  • Family Medicine Physician
  • Shelby, NC
  • NPI 1710166327
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD
• Halifax Regional Medical Center Inc

  dba Halifax Works

  • Urgent Care Clinic/Center
  • Roanoke Rapids, NC
  • NPI 1275656118
  NPD
• Vascular Solutions PC

  • Vascular Surgery Physician
  • Charlotte, NC
  • NPI 1215973672
  NPD (past)

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1538418983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CLEVELAND AVE",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863106",
            "telephone_number": "704-730-1228",
            "fax_number": "704-730-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N. CLEVELAND AVE",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863106",
            "telephone_number": "704-730-1228",
            "fax_number": "704-730-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELBAR",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Kings Mountain)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Kings Mountain)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Kings Mountain)
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health Kings Mountain)
• The Charlotte-Mecklenburg Hospital Authority (Carolinas Healthcare System Kings Mountain)
• Claire Elizabeth Thombs, LCSW
• Everette B Thombs Sr., MD
• Lucas Adam Traylor, PHARM. D.
• Deborah B Trivett, LMBT, MMP
• Deanna Lee Unnasch, LMBT

• Physician Assistant in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.