Stefan P. Thiele, M.D., P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

L4756 Issued in TX

Legal business name

STEFAN P. THIELE, M.D., P.A.

Practice address

1320 Doctors Dr
Tyler, TX 75701-2262

Phone

(903) 595-0105

Fax

(903) 595-0103

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stefan Peter Thiele, M.D.NPI 1568576650

Title

President

Phone

(903) 595-0105

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stefan Peter Thiele, MD

  • Family Medicine Physician
  • Plano, TX
  • NPI 1568576650

  Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1922298876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012262",
            "telephone_number": "903-595-0105",
            "fax_number": "903-595-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012262",
            "telephone_number": "903-595-0105",
            "fax_number": "903-595-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFAN P. THIELE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "THIELE",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-595-0105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L4756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "8600B9",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delana Deneise Staten, RPH
• Kristin Staudinger
• Stedeyo Nemt LLC
• Jennifer A Steeger, MD
• Heather Nicole Steel
• Ekaterina Stefanenko
• Erica Denise Stegall, CST, CSFA
• Scott Stegall, PA-C
• Sheryl Steidley
• Joshua D Stein, MD

• Surgery Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.