Clifford H Threlkeld, DO

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

OS0006623 Issued in FL

Practice address

8150 Chancellor Dr
Suite 110
Orlando, FL 32809-7691

Phone

(407) 587-4243

Fax

(407) 521-5053

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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.

• Ameripath Hospital Services-Florida LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Clermont, FL
  • NPI 1124091509
  Medicare reassignment NPD Anatomic Pathology & Clinical Pathology, FL
• Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1619940517
  NPD
• Ameripath Hospital Services-Florida LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Fort Myers, FL
  • NPI 1518735208
  NPD Anatomic Pathology & Clinical Pathology
• Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Pompano Beach, FL
  • NPI 1952381477
  NPD (past)
• Ameripath Florida LLC

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1962254987
  NPD (past)
• Kilpatrick Pathology PA

  • Clinical Medical Laboratory
  • King, NC
  • NPI 1124035316
  NPD (past)

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Central Florida Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakeland, FL
  • NPI 1851751549
  CMS ownership Corporate Officer

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles (6 of 8)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2014.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1972582930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 CHANCELLOR DR",
            "address_2": "SUITE 110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097691",
            "telephone_number": "407-587-4243",
            "fax_number": "407-521-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRELKELD",
        "first_name": "CLIFFORD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "OS0006623",
            "primary": true
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "FL",
            "license": "OS6623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarita Thorpe
• Madison Shey Thorson
• Randall Scott Thorstad, CRNA
• Jeffrey A Thorstenson, CRNA
• Donna Marie Thrash, LPC
• Thrive Behavioral Sciences Orlando LLC
• Thrive IHS Integrative Health Services, LLC
• Thriving Lives Counseling Group
• Thriving Minds Psychological Services LLC
• Josef George Thundiyil, MD

• All providers in Orlando, FL
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.