Dr. Thomas Nienke
Orthopaedic Spine Surgeon
5880 49th St N Ste N-104
St Petersburg
, Florida 33709-2150
Dr. Thomas Nienke
Orthopaedic Spine Surgeon
5880 49th St N Ste N-104
St Petersburg
, Florida 33709-2150
(727) 528-7895
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Thomas Nienke
- 5880 49th St N Ste N-104
- St Petersburg, FL
- Zip : 33709-2150
- Fax : (727) 528-7895
- Phone : (727) 528-6100
Second Address
- Dr. Thomas Nienke
- 5880 49th St N Ste N-104
- St Petersburg, FL
- Zip : 33709-2150
- Fax : (727) 528-7895
- Phone : (727) 528-6100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | OS12013 | FL |
National Provider Identifier
| NPI | 1194976860 |
|---|---|
| Provider Name | Dr. Thomas Nienke |
| First Address | St Petersburg, FL 33709-2150 |
| Second Address | St Petersburg, FL 33709-2150 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2008 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008659300 | (05) | FL |
| HI139Y | MEDICARE PTAN (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.