Active NPI
Ole Thienhaus, MD
- Psychiatry Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19920
- Practice address
- 1501 N. Campbell Ave
70PC Psychiatry Department
Tucson, AZ 85724 - Phone
- (520) 626-6255
- Fax
- (520) 626-4070
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 7611 | NV | |
| Psychiatry Physician | 2084P0800X | 19920 | AZ | Primary |
Addresses
Primary practice location
1501 N. Campbell Ave
70PC Psychiatry Department
Tucson, AZ 85724
Mailing address
1501 N. Campbell Ave
70PC Psychiatry Department
Tucson, AZ 85724
Phone (702) 671-2355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002016553 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19920 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care Inc | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Unsom Multi-Spec GRP Pract S | Family Medicine | Past | Accepting new patients |
| University of NV School of Medicine Multi Specialty Group Practice So | Past | Accepting new patients |
Locations
500 W River Dr
Davenport, IA 52801
2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000
Interoperability endpoints
- othienhaus635644@direct.ochin.org
Organizations & group practices 7
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.
-
dba Community Health Care Inc - Glenview Middle School
- Federally Qualified Health Center (FQHC)
- East Moline, IL
- NPI 1669360459
-
- Federally Qualified Health Center (FQHC)
- Rock Island, IL
- NPI 1114252012
-
- Federally Qualified Health Center (FQHC)
- Rock Island, IL
- NPI 1598759292
-
- Clinical Medical Laboratory
- Davenport, IA
- NPI 1649461310
-
- Federally Qualified Health Center (FQHC)
- Davenport, IA
- NPI 1932193224
-
dba MedSchool Associates South
- Otolaryngology Physician
- Las Vegas, NV
- NPI 1437282050
-
dba MedScool Associates South
- Surgery Physician
- Henderson, NV
- NPI 1053739268
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1689784811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N. CAMPBELL AVE",
"address_2": "70PC PSYCHIATRY DEPARTMENT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85724",
"telephone_number": "702-671-2355",
"fax_number": "702-382-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N. CAMPBELL AVE",
"address_2": "70PC PSYCHIATRY DEPARTMENT",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85724",
"telephone_number": "520-626-6255",
"fax_number": "520-626-4070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIENHAUS",
"first_name": "OLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "7611",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "19920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016553",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.