Individual provider Active NPI

Ole Thienhaus, MD

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1689784811
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19920 Issued in AZ
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002016553MedicaidNV

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19920AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc CurrentSince Nov 14, 2022 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care Inc CurrentSince Nov 14, 2022 Accepting new patients
Community Health Care, Inc. CurrentSince Nov 14, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.