Kim Thiele, DO, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4125 Issued in AK

Legal business name

KIM THIELE, DO, PC

Practice address

105 Trading Bay Dr
Suite 105
Kenai, AK 99611-7717

Phone

(907) 242-9000

NPI assigned

May 2, 2011

Last updated

May 2, 2011By 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. Kim E Thiele, DONPI 1043361629

Title

Executive Officer

Phone

(907) 242-9000

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.

• Kim Edward Thiele, D.O.

  • Family Medicine Physician
  • Kenai, AK
  • NPI 1043361629
  NPD (past) Authorized official

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1972894418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRADING BAY DR",
            "address_2": "SUITE 105",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117717",
            "telephone_number": "907-242-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TRADING BAY DR",
            "address_2": "SUITE 105",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117717",
            "telephone_number": "907-242-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM THIELE, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "THIELE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "907-242-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AK",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD41253",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth S Hahn (Redoubt Medical Clinic)
• Rene' D. Kenney, RN, PA-C
• Kelsi Rose Kiel
• Christina Ann Kilby, MSN, MPH, NP-C, APRN
• Hannah Mae Kilfoyle
• Heidi Wynne King
• Sara Irene Koenig
• Michael D Koob, D.C.
• Kpo Rehabilitation & Sports Medicine
• Stephen Andrew Kronlage, RDN, LDN

• Primary Care Clinic/Center in Kenai, AK
• Providers in Kenai, AK by specialty
• Primary Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.