MARK ROBERT THIEL


Address: 1180 Castle Pointe Ln, Grayson, GA 30017-1077
Phone: 4045388605

MARK ROBERT THIEL (NPI# 1902145048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902145048
Entity Type Individual
Full Name MARK ROBERT THIEL
Practice Address 1180 Castle Pointe Ln
Grayson
GA 30017-1077
Practice Telephone 4045388605
Enumeration Date 2013-02-09
Last Update Date 2013-02-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARK THIEL

NPI Name Taxonomy Address Enumeration
1063865913 Mark Thiel Registered Nurse 1701 14th St Nw, Washington, DC 20009-4308 2016-07-15
1235324492 Mark Robert Thiel Occupational Therapist 130 2nd St, Neenah, WI 54956-2883 2007-09-11

Office Location

Street Address 1180 CASTLE POINTE LN
City GRAYSON
State GA
Zip Code 30017-1077

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588140859 Butterfly Development, LLC Community Based Residential Treatment Facility, Mental Illness 1911 Grayson Highway, Suite 8-242, Grayson, GA 30017 2018-07-19
1811417132 Yva Gauthier Nurse Practitioner 1620 Terry Mill Lane, Grayson, GA 30017 2017-06-27
1023341518 Christine R Petro, Psy.d., LLC Psychologist 69 Grayson New Hope Rd, Grayson, GA 30017 2009-09-15
1902097579 Zain Odeh Dabbas Dentist 2594 Loganviile Hwy, # 102, Grayson, GA 30017 2007-08-07
1619078276 Primary Foot & Ankle Care Podiatrist 862 Amber Hill Ct, Grayson, GA 30017 2006-09-26
1700878170 James Michael Long Dentist 2518 Loganville Hwy, Grayson, GA 30017 2005-08-22
1629556717 Mason Moriah Earp Physical Therapist 2065 Grayson Hwy Ste B, Grayson, GA 30017 2018-08-01
1811482201 Matthew Ntomoo Lo Physical Therapy Assistant 2065 Grayson Hwy Ste B, Grayson, GA 30017 2018-06-27
1144460668 Alisa M Nelson-wade Dentist 2219 Loganville Hwy, Hwy 20, Grayson, GA 30017 2009-02-24
1003321662 Grace Care Ambulance Transport, LLC Ambulance 516 Sosebee Farm Rd Unit 531, Grayson, GA 30017-0118 2017-12-05
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Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639784119 Caroline N/a Guan Anesthesiologist Assistant 1377 Dresden Dr Ne Apt 5117, Brookhaven, GA 30319-3457 2020-09-11
1841815925 Ghazal Motakef Anesthesiologist Assistant 365 Victorian Ln, Johns Creek, GA 30097-5769 2020-06-14
1801446455 Mednax Anesthesiologist Assistant 770 Pine St Ste L40, Macon, GA 31201-7521 2019-09-16
1114570553 Diana Ansley Berry Anesthesiologist Assistant 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 2019-07-23
1346703758 Alexander Lee Anesthesiologist Assistant 1228 Christiana Xing, Lawrenceville, GA 30043-7007 2019-04-11
1710449897 Salman Noorali Dewani Anesthesiologist Assistant 6371 Crestgate Ln, Tucker, GA 30084-8458 2019-04-05
1316432537 Heather Mcintyre Anesthesiologist Assistant 57 Executive Park S Ste 300, Atlanta, GA 30329-2287 2018-06-29
1699292235 Robin Spierer Anesthesiologist Assistant 80 Jesse Hill Jr Dr Se # 6d028, Atlanta, GA 30303-3031 2017-08-24
1821512401 Stephen Chaussinand Anesthesiologist Assistant 5673 Peachtree Dunwoody Rd Ste 490, Atlanta, GA 30342-1775 2017-07-26
1790206381 Andres Felipe Hernandez Anesthesiologist Assistant 80 Jesse Hill Jr Dr Se Ste 6d028, Atlanta, GA 30303-3031 2017-07-05
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Competitor

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City GRAYSON
Zip Code 30017

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Dataset Information

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.

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