Kent C Thieman, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

21740 Issued in IA

Practice address

1215 Pleasant St
Ste 618
Des Moines, IA 50309-1416

Phone

(515) 875-9090

Fax

(515) 241-5041

NPI assigned

Sep 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Boone County Hospital

  • Critical Access Hospital
  • Boone, IA
  • NPI 1467434225
  NPD (past)
• The Iowa Clinic PC

  • Family Medicine Physician
  • West Des Moines, IA
  • NPI 1346233178
  NPD (past)
• The Iowa Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • West Des Moines, IA
  • NPI 1871451328
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1922094747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LAKE DRIVE",
            "address_2": "STE 250",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662504",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST",
            "address_2": "STE 618",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091416",
            "telephone_number": "515-875-9090",
            "fax_number": "515-241-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEMAN",
        "first_name": "KENT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IA",
            "license": "21740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922094747",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapy House LLC
• Therapy Services of Iowa Inc
• Therapyworks on Grand LLC
• Tiffany Theulen, TLMHC
• Pierre Theuma, MD
• Alexandra Thierer, LMSW
• Lindsey Nicole Thies, FNP - C
• Shannon Marie Thill
• Thomas Bus Sales of Iowa, Inc.
• Thomas J Lyle DDS PC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.