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

Thomas Kotheimer, PA

Individual provider Medical Physician Assistant · NPI 1235126053

Thomas Kotheimer, PA is a Medical Physician Assistant in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2161 Kingsley Ave Ste 200
Orange Park, FL 32073-5113
Phone: (904) 727-3139
Fax: (904) 276-7434
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA 2559 (FL)

Record details

NPI number1235126053
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 6, 2005
Last updated in NPPESMay 24, 2012

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