DR. ELIZABETH ANNE THIELE MD PHD NPI 1982670535

NPI Information

NPI: 1982670535
Provider Name: DR. ELIZABETH ANNE THIELE, MD PHD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

PECOS Registration: Yes

Address:
55 FRUIT ST YAW 6B
PEDIATRIC NEUROLOGY
BOSTON, MA
ZIP 02114
Phone: (617) 726-6540
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DR. Elizabeth Anne Thiele, MD PHD is a neurology with special qualifications in child neurology psychiatry neurology in Boston, MA with 34 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Elizabeth Anne Thiele, MD PHD NPI is 1982670535. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

55 FRUIT ST YAW 6B
PEDIATRIC NEUROLOGY
BOSTON, MA
ZIP 02114
Phone: (617) 726-6540
Fax: (617) 726-0230

The NPI 1982670535 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/24/2006 and was last updated on 2/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	79261	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J16820	OTHER	MASSACHUSETTS	BCBS MA
2	079261	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	G26278	MEDICARE UPIN
4	3147088	MEDICAID	MASSACHUSETTS
5	A21215	MEDICARE PIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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