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Thomas Kotheimer, PA

NPI 1235126053ActiveIndividual· Physician Assistant, Medical· Orange Park, FL

Physician Assistant, Medical (PA) in Orange Park, Florida, licensed in FL, with an NPI issued in October 2005.

Overview

NPI1235126053
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedOct 6, 2005
Last updated in NPPESMay 24, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Medical Primary363AM0700XPA 2559FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant, Medical providers in Orange Park

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