Individual provider Active NPI

Scott Thiel, MD

  • Family Medicine Physician
  • Boone, IA
National Provider Identifier
1750359816
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25506 Issued in IA
Practice address
1115 S Marshall St
Boone, IA 50036-5304
Phone
(515) 432-2335
Fax
(515) 432-2357
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25506 IA Primary

Addresses

Primary practice location

1115 S Marshall St
Boone, IA 50036-5304

Mailing address

1115 S Marshall St
Boone, IA 50036-5304
Phone (515) 432-2335

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bcfmboones@cynchealthdsm.org

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25506IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bcfmboones@cynchealthdsm.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1750359816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S MARSHALL ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500365304",
            "telephone_number": "515-432-2335",
            "fax_number": "515-432-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S MARSHALL ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500365304",
            "telephone_number": "515-432-2335",
            "fax_number": "515-432-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "25506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bcfmboones@cynchealthdsm.org",
            "affiliation": "N",
            "address_1": "1115 S Marshall St",
            "city": "Boone",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500365304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.