THOMAS KOEHNE (NPI# 1629166434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629166434 |
| Entity Type | Individual |
| Full Name | THOMAS KOEHNE |
| Credential | PA-C |
| Practice Address |
697 Maitland Avenue Suite 1002 Altamonte Springs FL 32701 |
| Practice Telephone | 4075392111 |
| Practice Fax Number | 4075391211 |
| Mailing Telephone | 4075392111 |
| Mailing Fax Number | 4075391211 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA3198 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA0003198 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | P.A.LICENSE NUMBER | PA0003198 | 01 |
| FL | 290428400 | 05 | |
| FL | RR MC PROVIDER NUMBER | 970006599 | 01 |
| FL | P.A.CERTIFICATE NUMBER | 972885 | 01 |
| Street Address |
697 MAITLAND AVENUE SUITE 1002 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499102 | Mks Care Services LLC | Clinic/Center | 270 Mira Way, Apt. 207, Altamonte Springs, FL 32701 | 2020-05-19 |
| 1598307993 | Integumentary Physiotherapy Institute, LLC | Physical Therapist | 616 E Altamonte Dr Ste 203, Altamonte Springs, FL 32701 | 2019-10-17 |
| 1922569508 | Adventist Health System- Sunbelt Inc Adventhealth Orlando | Pharmacy | 661 E Altamonte Drive Ste 116, Altamonte Springs, FL 32701 | 2019-03-27 |
| 1720524812 | Paula Paton | Nurse Practitioner | 249 Maitland Avenue, Suite 1000, Altamonte Springs, FL 32701 | 2017-01-12 |
| 1639521800 | Mohamed Samy Elwany | Audiologist | 600 E Altamonte Drive, Suite 1700, Altamonte Springs, FL 32701 | 2016-07-12 |
| 1780061267 | Rogers Massage Therapy Clinic | Point of Service | 1061 East Altamonte Dr, Suite 1019, Altamonte Springs, FL 32701 | 2015-05-04 |
| 1598160145 | New Smile Dentistry of Altamonte Springs, Pa | Dentist | 512 E Altamonte Drive, Altamonte Springs, FL 32701 | 2014-10-24 |
| 1083035802 | Amanda Hirsch | Nurse Practitioner | 150 Cranes Roost Blvd, Suite 1220, Altamonte Springs, FL 32701 | 2013-12-20 |
| 1952731143 | Don M. Preble | Dentist | 499 E. Central Parkway Ste 220, Altamonte Springs, FL 32701 | 2013-11-25 |
| 1366883548 | Jose Rafael Navarro | Dentist | 305 East Altamonte Drive, Suite 1020, Altamonte Springs, FL 32701 | 2013-07-16 |
| Find all providers in zip 32701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1710513569 | Carly May Jones | Physician Assistant | 364 Northpointe Ct Unit 206, Altamonte Springs, FL 32701-5811 | 2020-03-12 |
| 1679071336 | Alyssa Hernandez Pena | Physician Assistant | 390 Maitland Ave Ste 2000, Altamonte Springs, FL 32701-5415 | 2018-01-29 |
| 1639252372 | Joanna Q Hannah | Physician Assistant | 831 S State Road 434, Altamonte Springs, FL 32714 | 2006-10-24 |
| 1063506681 | Mark Anthony Payne | Physician Assistant | 921 W Lake Brantley Rd, Altamonte Springs, FL 32714-2634 | 2006-10-03 |
| 1336259852 | Ann Clements | Physician Assistant | 106 Boston Ave Ste 105, Altamonte Springs, FL 32701-4711 | 2006-08-30 |
| 1053331587 | Aldo Joseph Piovesan | Physician Assistant | 711 E Altamonte Dr Ste 210, Altamonte Springs, FL 32701-4824 | 2006-07-20 |
| 1154365039 | Raphael O Reyes | Physician Assistant | 539 Maitland Avenue, Suite 1002, Altamonte Springs, FL 32701 | 2006-06-15 |
| 1801418371 | Helen Chen | Physician Assistant | 251 Maitland Ave Ste 116, Altamonte Springs, FL 32701-4913 | 2020-05-07 |
| 1578198131 | Stephanie Sandra Moses | Physician Assistant | 601 E Altamonte Dr, Altamonte Springs, FL 32701-4802 | 2020-03-04 |
| Find all providers in ALTAMONTE SPRINGS | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
Please comment or provide details below to improve the information on THOMAS KOEHNE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.