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

Mark R. Thiele, MD

Individual provider Family Medicine Physician · NPI 1467593715

Mark R. Thiele, MD is a Family Practice in Henderson, Nevada. Qualified in 2005, 21 years ago. Practices with Intermountain Medical Holdings Nevada Inc, a 308-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and Nevada.

Years since qualifying
21
Licensed in
FL, NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

595 W Lake Mead Pkwy
Henderson, NV 89015-7015
Phone: (702) 565-1007
Fax: (702) 565-0836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1200 Gulf Breeze Pkwy Ste B, Gulf Breeze, FL 32561 — (850) 916-3680
  • 9400 University Pkwy, Pensacola, FL 32514-5752 — (850) 208-6160
  • 9400 University Pkwy, Pensacola, FL 32514-5752 — (850) 208-6160

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20364 (NV)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME104257 (FL)

Record details

NPI number1467593715
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022
Mailing address6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Intermountain Medical Holdings Nevada Inc — 308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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