Andrew Christian Thieneman Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01027883A Issued in IN

Practice address

421 Chestnut St
Evansville, IN 47713-1227

Phone

(812) 426-6638

Fax

(812) 450-8109

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1881762060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3868",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477373868",
            "telephone_number": "812-426-6638",
            "fax_number": "812-450-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CHESTNUT ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131227",
            "telephone_number": "812-426-6638",
            "fax_number": "812-450-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIENEMAN",
        "first_name": "ANDREW",
        "middle_name": "CHRISTIAN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01027883A",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01027883A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID",
            "identifier": "64758162",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100086800",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Well Being LLC
• The Wyndmoor of Evansville, LLC
• Katie Theising, PHARMD
• Elizabeth Lacey Theiss, M.S., CCC-SLP
• Therapy Associates Inc
• Emily Rae Thimling, PA-C
• Thomas a. Weinzapfel, MD, LLC
• Thomas M. Gadient, M.D., PSC
• Thomas S. Hastetter MD LLC
• Ashley Thomas, MS, CCC-SLP

• Internal Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.