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

Mr. Mark Walter Thiemann, PAC

Individual provider Surgical Physician Assistant · NPI 1386634046

Mr. Mark Walter Thiemann, PAC is a Physician Assistant in Cincinnati, Ohio. Qualified in 1993, 33 years ago. Practices with Mercy Health Physicians Cincinnati Specialty Care LLC, a 344-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
33
Licensed in
OH
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3301 Mercy Health Blvd Ste 450
Cincinnati, OH 45211-1106
Phone: (513) 347-9999
Fax: (513) 215-9397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2454 Kipling Avenue, Cincinnati, OH 45239-6600 — (513) 981-6784

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 50-00-0882 (OH)

Record details

NPI number1386634046
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Mercy Health Physicians Cincinnati Specialty Care Llc — 344 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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