Individual provider · Type 1 NPI
Thomas Kotheimer, PA
Medical Physician Assistant · Orange Park, FL
NPI number
1235126053
Active
Practice location
2161 Kingsley Ave, Ste 200
Orange Park, FL 32073-5113
Fax (904) 276-7434
Mailing address
9143 Philips Hwy, Ste 560
Jacksonville, FL 32256-1348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA 2559 (FL) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Integrated Community Oncology Network LLCRadiation Oncology Physician Orange Park, FL NPI 1952320467
- Dwelvin L. Simmons, MDRadiation Oncology Physician Orange Park, FL NPI 1740247311
- Kelley A. Trent, MDHematology & Oncology Physician Orange Park, FL NPI 1689661399
- Shyam Bhojraj Paryani, MDRadiation Oncology Physician Orange Park, FL NPI 1871584342
Other medical physician assistant providers in Orange Park
- Peter Perry, P.A.-CMedical Physician Assistant Orange Park, FL NPI 1003878026
- Tracey Amanda Bleau, PA-CMedical Physician Assistant Orange Park, FL NPI 1215023775
- Alexander Pena, PA-C, ATCMedical Physician Assistant Orange Park, FL NPI 1477937936
- Stephanie C. Wilder, PA-CMedical Physician Assistant Orange Park, FL NPI 1508093873
- Ronald D. Hopkins, PAMedical Physician Assistant Orange Park, FL NPI 1699742031
- Pinki Patel, PAMedical Physician Assistant Orange Park, FL NPI 1760496269
- Paul Christopher DuffMedical Physician Assistant Orange Park, FL NPI 1821092503
- William Shane McClanahan, PA-CMedical Physician Assistant Orange Park, FL NPI 1962493932
About NPI 1235126053
Thomas Kotheimer, PA's National Provider Identifier is 1235126053, issued on Oct 6, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orange Park, FL. The record was last updated on May 24, 2012.