THOMAS KOEHNE PA-C NPI 1629166434

NPI Information

  • NPI: 1629166434
  • Provider Name: THOMAS KOEHNE, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 697 MAITLAND AVENUE
    SUITE 1002
    ALTAMONTE SPRINGS, FL
    ZIP 32701
  • Phone: (407) 539-2111

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NPI Details

Thomas Koehne, PA-C is a physician assistant in Altamonte Springs, FL. The provider is 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. Thomas Koehne, PA-C NPI is 1629166434. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

697 MAITLAND AVENUE
SUITE 1002
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 539-2111
Fax: (407) 539-1211

The enumeration date for this NPI number is 10/10/2006 and was last updated on 8/28/2013.

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
1363AS0400XPhysician AssistantSurgicalPA0003198FLORIDANo
2363A00000XPhysician AssistantPA3198FLORIDAYes

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
1PA0003198OTHERFLORIDAP.A.LICENSE NUMBER
2970006599OTHERFLORIDARR MC PROVIDER NUMBER
3E1107VMEDICARE PINFLORIDA
4972885OTHERFLORIDAP.A.CERTIFICATE NUMBER
5290428400MEDICAIDFLORIDA

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: 11/21/2025

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