THOR WILLIAM VAN DIVER M.D. NPI 1023061934

Anesthesiology in St Petersburg, FL

NPI 1023061934 Individual Male Years of Experience 32 Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment

About THOR VAN DIVER

Thor Van Diver is a provider established in St Petersburg, Florida and his medical specialization is anesthesiology with more than 32 years of experience. He graduated from University Of Rochester School Of Medicine And Dentistry in 1990. The NPI number of Thor Van Diver is 1023061934 and was assigned on May 2006. The practitioner's primary taxonomy code is 207L00000X with license number ME88143 (FL). The provider is registered as an individual and his NPI record was last updated 11 years ago.

An anesthesiologist like Thor William Van Diver M.d. manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Thor Van Diver is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Thor Van Diver is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Gulf Coast Medical Center Lee Health.

NPI

1023061934

Provider Name THOR WILLIAM VAN DIVER M.D.
Provider Location Address701 6TH ST S ST PETERSBURG, FL 33701
Provider Mailing AddressPO BOX 22005 ST PETERSBURG, FL 33742
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year1990
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-19-2006
Last Update Date10-05-2010


Primary Taxonomy

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.ME88143
License StateFL
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Business Address

THOR WILLIAM VAN DIVER M.D.
701 6TH ST S
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 823-2188
Fax: (727) 828-0723

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Mailing Address

THOR WILLIAM VAN DIVER M.D.
PO BOX 22005
ST PETERSBURG, FL
ZIP 33742
Phone: (727) 823-2188
Fax: (727) 828-0723



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2860435989
PECOS Enrollment IDI20060505000822
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Thor Van Diver is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
GULF COAST MEDICAL CENTER LEE HEALTH13681 DOCTORS WAY
FORT MYERS, FL 33912
(239) 768-5000Acute Care Hospitals100220

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
81367YMEDICARE PIN (08)FL
81367OTHER (01)FL
P00407541OTHER (01)FL
268026200MEDICAID (05)FL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144298423 HAKHAMANESH NEMAT CRNA
Individual
Nurse Anesthetist, Certified Registered701 6TH ST S ANESTHESIA DEPT
ST PETERSBURG, FL 33701
(727) 823-2188
1376505966 MICHELLE MARIE BEACH CRNA
Individual
Nurse Anesthetist, Certified Registered701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-2188
1003853458EMERGENCY MEDICAL ASSOCIATES OF FL, LLC
Organization
Emergency Medicine701 6TH ST S
ST PETERSBURG, FL 33701
(727) 825-1100
1225073844 CONNIE MARIE MAY ARNP
Individual
Nurse Practitioner701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-1234
1558397174 BETH ANN GIRGIS MD
Individual
Emergency Medicine701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-1234
1487680039 DONNA MAACK DOOLEY DO
Individual
Emergency Medicine701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-1234
1750311338 MICHAEL D HILLMAN DO
Individual
Emergency Medicine701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-1234
1346272085 MICHAEL JAMES LAWLESS MD
Individual
Emergency Medicine701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-1234
1386669182 NINI KHIN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)701 6TH ST S
ST PETERSBURG, FL 33701
(727) 893-6182
1356367361DR. CURTIS L. SONGSTER M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)701 6TH ST S
ST PETERSBURG, FL 33701
(727) 893-6182
1902822422 JEFFREY IRV MARDER MD
Individual
Anesthesiology701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-2188
1275551905 BRIAN STANTON HEDRICK DO
Individual
Emergency Medicine701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-1234
1770502098 LARRY J. DAVIS M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)701 6TH ST S
ST PETERSBURG, FL 33701
(727) 893-6182
1295754547 EDWIN J. HUMPHREY M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)701 6TH ST S
ST PETERSBURG, FL 33701
(727) 893-6182
1023029279 DAVID A. WEILAND JR. M.D.
Individual
Internal Medicine701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-1234
1811004146 JAMES D MURPHY JR. MD
Individual
Anesthesiology701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-2188
1144337288 JOSE M THRUSH -SANCHEZ CRNA
Individual
Nurse Anesthetist, Certified Registered701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-2188
1558465070 MICHAEL E ROBBINS CRNA
Individual
Nurse Anesthetist, Certified Registered701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-2188
1467540815 LISA KIMBERLY MCALAVY SIEWERT PAC
Individual
Physician Assistant701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-1234
1033267588 ERIK SCOTT RAUCH CRNA
Individual
Nurse Anesthetist, Certified Registered701 6TH ST S
ST PETERSBURG, FL 33701
(727) 823-2188

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.