| Thomas Kotheimer, PA | |
|
2161 Kingsley Ave, Ste 200, Orange Park, FL 32073-5113 | |
| (904) 727-3139 | |
| (904) 276-7434 |
| Full Name | Thomas Kotheimer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 2161 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235126053 | NPI | - | NPPES |
| 291828500 | Medicaid | FL | |
| Y03PU | Other | FL | BCBSFL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA 2559 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Kotheimer, PA 9143 Philips Hwy, Ste 560, Jacksonville, FL 32256-1348 Ph: (904) 363-2113 | Thomas Kotheimer, PA 2161 Kingsley Ave, Ste 200, Orange Park, FL 32073-5113 Ph: (904) 727-3139 |
Christy Gieger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-314-7733 | |
Peter Perry, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1409 Kingsley Ave, Suite 6a, Orange Park, FL 32073 Phone: 904-264-7517 Fax: 904-264-0015 | |
Andrea Castano, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2300 Park Ave Ste 205, Orange Park, FL 32073 Phone: 904-272-0384 | |
Mekenna Anne Stonick, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 906 Park Ave, Orange Park, FL 32073 Phone: 904-541-0315 | |
Radu Gheorghe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1895 Kingsley Ave Ste 300, Orange Park, FL 32073 Phone: 904-276-2549 Fax: 904-276-9235 | |
Whitney E. Law, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Park Ave., Nemours Childrens Clinic, Orange Park, Orange Park, FL 32073 Phone: 904-697-3694 Fax: 904-697-3927 | |
Miss Alison Lynn Boden, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2055 Professional Center Dr, Orange Park, FL 32073 Phone: 904-276-4500 |