DR. THEODORE HARRY STATHOS MD NPI 1144265315

NPI Information

NPI: 1144265315
Provider Name: DR. THEODORE HARRY STATHOS, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

PECOS Registration: Yes

Address:
9224 TEDDY LANE
SUITE 200
LONE TREE, CO
ZIP 80124
Phone: (303) 790-1515
Get Directions

DR. Theodore Harry Stathos, MD is a pediatric gastroenterology pediatrics in Lone Tree, CO. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Theodore Harry Stathos, MD NPI is 1144265315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9224 TEDDY LANE
SUITE 200
LONE TREE, CO
ZIP 80124-799
Phone: (303) 790-1515
Fax: (303) 790-1989

The NPI 1144265315 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 9/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0206X	Pediatrics	Pediatric Gastroenterology	33634	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200295450 A	MEDICAID	OKLAHOMA
2	1699895755	OTHER		GROUP NPI
3	04018362	OTHER	COLORADO	GROUP MEDICAID
4	84127410413	OTHER	NEBRASKA	GROUP MEDICAID
5	18498	OTHER	NEBRASKA	MEDICAL LICENSE
6	$$$$$$$$$01	MEDICAID	NEBRASKA
7	200293420 A	OTHER	OKLAHOMA	GROUP MEDICAID
8	8301A	OTHER	WYOMING	MEDICAL LICENSE
9	109864100	OTHER	WYOMING	GROUP MEDICAID
10	1144265315	MEDICAID	WYOMING
11	01336346	MEDICAID	COLORADO
12	33634	OTHER	COLORADO	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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