Active NPI
Anthony Lennon Thebaut, MD
- Surgery Physician
- Riviera Beach, FL
National Provider Identifier
1861440463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 21023
- Practice address
- 7305 N Military TRL
Riviera Beach, FL 33410-7417 - Phone
- (561) 422-5781
- NPI assigned
- May 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 21023 | FL | Primary |
Addresses
Primary practice location
7305 N Military TRL
Riviera Beach, FL 33410-7417
Mailing address
12980 N Shore Dr
West Palm Beach, FL 33410-1334
Phone (561) 622-6005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21023 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861440463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12980 N SHORE DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334101334",
"telephone_number": "561-622-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7305 N MILITARY TRL",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334107417",
"telephone_number": "561-422-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEBAUT",
"first_name": "ANTHONY",
"middle_name": "LENNON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "21023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riviera Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.