Active NPI
Sasha Anika Thiel
- Surgery Physician
- Boca Raton, FL
National Provider Identifier
1649808627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30494
- Practice address
- 777 Glades Rd # BC71
Boca Raton, FL 33431-6424 - Phone
- (561) 955-3696
- NPI assigned
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30494 | FL | Primary |
Addresses
Primary practice location
777 Glades Rd # BC71
Boca Raton, FL 33431-6424
Mailing address
18714 Pepper Pike
Lutz, FL 33558-5303
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30494 | FL | MD | Surgery Physician |
Interoperability endpoints
- sasha.thiel.1@6721.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1649808627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18714 PEPPER PIKE",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 GLADES RD # BC71",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316424",
"telephone_number": "561-955-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEL",
"first_name": "SASHA",
"middle_name": "ANIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "30494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.