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GEORGE H. THEODORE MD PC NPI 1215925888


NPI Information

NPI: 1215925888
Provider Name: GEORGE H. THEODORE, MD PC
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Organization

Specialization: Foot and Ankle Surgery

Address:
175 CAMBRIDGE ST
4TH FLOOR
BOSTON, MA
ZIP 02114
Phone: (617) 724-7009
Get Directions

GEORGE H. THEODORE, MD PC is a foot and ankle surgery orthopaedic surgery in Boston, MA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. GEORGE H. THEODORE, MD PC NPI is 1215925888. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

175 CAMBRIDGE ST
4TH FLOOR
BOSTON, MA
ZIP 02114-743
Phone: (617) 724-7009
Fax: (617) 643-1006

The provider's authorized official is George H Theodore .
The authorized official title is Owner and has the following contact phone number (617) 726-1344.

The enumeration date for this NPI number is 10/7/2005 and was last updated on 10/14/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery150940MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M21329MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
2M18225OTHERMASSACHUSETTSBCBS MA
3G26707MEDICARE UPINMASSACHUSETTS
4173652OTHERMASSACHUSETTSHPHC
5727867OTHERMASSACHUSETTSTUFTS
69730290MEDICAIDMASSACHUSETTS

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: 4/28/2024

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