Individual provider Active NPI

William Thiemkey, D.O.

  • Emergency Medicine Physician
  • Fletcher, NC
National Provider Identifier
1962407288
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2005-01802 Issued in NC
Practice address
Naples Rd
Fletcher, NC 28732
Phone
(828) 681-2141
NPI assigned
Jun 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2005-01802 NC Primary
General Practice Physician 208D00000X WT007666 MI

Addresses

Primary practice location

Naples Rd
Fletcher, NC 28732

Mailing address

44 Hunting Lodge Dr
Black Mountain, NC 28711-9799
Phone (828) 669-4485

Other identifiers 3

IdentifierTypeStateIssuer
5903338MedicaidNC
1373910MedicaidMI
P00418628OtherRAILROAD MEDICARE

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
2005-01802NCMDEmergency Medicine Physician
WT007666MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clyde Emergency Solutions LLC Emergency Medicine Past Accepting new patients
Phoenix Emergency Solutions of Fletcher PLLC Emergency Medicine Past Accepting new patients
Fletcher Emergency Services, LLC Emergency Medicine Past Accepting new patients
Park Ridge Hospital Past Accepting new patients

Organizations & group practices 4

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1962407288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HUNTING LODGE DR",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119799",
            "telephone_number": "828-669-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAPLES RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "28732",
            "telephone_number": "828-681-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEMKEY",
        "first_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2005-01802",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "WT007666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903338",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1373910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00418628",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fletcher, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.