Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alan Thiede, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548893092

Alan Thiede, PA-C is a Physician Assistant in Pewaukee, Wisconsin. Qualified in 2020, 6 years ago. Practices with Orthopaedic Associates of Wisconsin SC, a 106-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone: (262) 303-5055
Fax: (262) 303-5057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 507 N 17th St, Milwaukee, WI 53233 — (414) 288-5688

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1548893092
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020
Mailing addressN15w28300 Golf Rd, Pewaukee, WI 53072-4800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Orthopaedic Associates Of Wisconsin Sc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Pewaukee