Thaddeus Dwayne Mitcham , PHYSICIAN ASSISTANT
Physician Assistant β’ Andersen Afb, GU
36th Medical Group, Unit 14010 Bldg 26012
Andersen Afb, GU 965434003
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
36th Medical Group
Unit 14010 Bldg 26012
Andersen Afb, GU 965434003
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021β2025.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Andersen Afb and Guam
2 active clinicians are listed under Physician Assistant with a practice address in Andersen Afb, GU (28 in Guam).
Addresses are self-reported to NPPES and may be out of date.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-08-08NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 36TH MEDICAL GROUP, UNIT 14010 BLDG 26012, ANDERSEN AFB, GU 965434003 (Tel: 6713664549)
Registered at 36TH MEDICAL GROUP, UNIT 14010 BLDG 26012, ANDERSEN AFB, GU 965434003 (Tel: 6713664549)
Registered at 354 MEDICAL GROUP, 2630 CENTRAL AVE, EIELSON AFB, AK 997022301 (Tel: 9073776127)
Registered at 354 MEDICAL GROUP, 2630 CENTRAL AVE, EIELSON AFB, AK 997022301 (Tel: 9073776127)
Registered at 7050 AIR DEPOT BLVD, TINKER AFB, OK 731458716 (Tel: 4055826231)
Registered at 7050 AIR DEPOT BLVD, TINKER AFB, OK 731458716 (Tel: 4055826231)
NPI status registered as active in NPPES database
Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532532)
Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532532)
Recorded as THADDEUS MITCHAM, PHYSICIAN ASSISTANT
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
36th Medical Group, Unit 14010 Bldg 26012
Andersen Afb, GU 965434003
Phone: 6713664549