Thomas Koehne, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3198 Issued in FL

Practice address

697 Maitland Avenue
Suite 1002
Altamonte Springs, FL 32701

Phone

(407) 539-2111

Fax

(407) 539-1211

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• All Family Clinic of Daytona Beach, Inc

  dba Florida Medical Associates

  • Specialist
  • Altamonte Springs, FL
  • NPI 1700281821
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1629166434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 MAITLAND AVENUE",
            "address_2": "SUITE 1002",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-539-2111",
            "fax_number": "407-539-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 MAITLAND AVENUE",
            "address_2": "SUITE 1002",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-539-2111",
            "fax_number": "407-539-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHNE",
        "first_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA0003198",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.A.CERTIFICATE NUMBER",
            "identifier": "972885",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC PROVIDER NUMBER",
            "identifier": "970006599",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290428400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.A.LICENSE NUMBER",
            "identifier": "PA0003198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent E. Klonel, D.C.
• Veronica Knappen
• Erika L Knight
• Angela Knowlton, OTR/L
• Nichole A. E. Koby
• Kopuri Orthodontist PA
• Tom V. Korioth, DDS, PHD
• Michael David Korpman, M.D.
• Haley Kranz, PA-C
• Hayley Kranz

• Physician Assistant in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.