Amanda K. Thate, PA-C

Physician Assistant · Springfield, IL

Individual Active NPI

NPI number 1609597871

Practice location

1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone
(217) 547-9100

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NPI record

NPI
1609597871
Entity type
Individual (Type 1)
Enumeration date
September 7, 2022
Last updated
September 7, 2022
Certified
September 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

PO Box 9469
Springfield, IL 62791-9469
Phone
(217) 547-9100

About Amanda Thate

Amanda K. Thate, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1301 S Koke Mill Rd, Springfield, IL 62711-9252. The NPI number 1609597871 was assigned on September 7, 2022 and the record was last updated on September 7, 2022.

Frequently asked questions

What is the NPI number of Amanda K. Thate, PA-C?

The NPI number is 1609597871.

What is the phone number of Amanda Thate?

The phone number listed for the practice location is (217) 547-9100.

Where is Amanda Thate located?

1301 S Koke Mill Rd, Springfield, IL 62711-9252.

What is the taxonomy code for Amanda Thate?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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