Active NPI
Andrew Bernard Thyen, M.D.
- Anesthesiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 23873
- Practice address
- 920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-4351
- Fax
- (405) 271-8695
- NPI assigned
- Aug 19, 2005
- Reactivated
- Apr 4, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | K7920 | TX | |
| Family Medicine Physician | 207Q00000X | 23873 | OK | |
| Anesthesiology Physician | 207L00000X | 23873 | OK | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd Ste 1140
Oklahoma City, OK 73104-5036
Mailing address
PO Box 26901
Oklahoma City, OK 73126-0901
Phone (405) 271-4351
Other practice location 1
1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300
Phone (713) 620-4000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133663816 | Medicaid | TX | |
| 8FQ963 | Other | TX | BCBS |
| 200030130B | Medicaid | OK | |
| P01624128 | Other | TX | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065
Hospital & facility affiliations
- O U Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23873 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facility-Physician | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facilty-Physician | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Washita Emergency Physicians LLC | Past | Accepting new patients | |
| Andrew Thyen Mdpa | Family Medicine | Past | Accepting new patients |
| Eastland Memorial Hospital District | Past | Accepting new patients | |
| Eastland Memorial Hospital District | Past | Accepting new patients |
Locations
920 Stanton L Young Blvd
Ste 1140
Oklahoma City, OK 73104
920 Stanton L Young Blvd
Oklahoma City, OK 73104
Phone (405) 271-5251
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
920 Stanton L Young Blvd
#1140
Oklahoma City, OK 73104
Phone (405) 271-4515
102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
3200 Troup Hwy
Ste 200
Tyler, TX 75701
Phone (903) 533-8084
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Tyler, TX
- NPI 1063400778
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Rural Health Clinic/Center
- Overton, TX
- NPI 1689496812
-
- Family Medicine Physician
- Pauls Valley, OK
- NPI 1427102474
-
- Emergency Medicine Physician
- Pauls Valley, OK
- NPI 1932159233
-
- Medicare Defined Swing Bed Hospital Unit
- Eastland, TX
- NPI 1023353752
-
- General Acute Care Hospital
- Eastland, TX
- NPI 1689650921
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1700878352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26901",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731260901",
"telephone_number": "405-271-4351",
"fax_number": "405-271-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD STE 1140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-4351",
"fax_number": "405-271-8695"
}
],
"practiceLocations": [
{
"address_1": "1500 Citywest Blvd",
"address_2": "Ste. 300",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770422300",
"country_code": "US",
"telephone_number": "713-620-4000",
"fax_number": "713-458-4229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THYEN",
"first_name": "ANDREW",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"deactivation_date": "2006-03-25",
"reactivation_date": "2006-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "K7920",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "23873",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "23873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133663816",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8FQ963",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200030130B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01624128",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.