ROGER THEODORE M.D. NPI 1306841614

NPI Information

  • NPI: 1306841614
  • Provider Name: ROGER THEODORE, M.D.
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 CROMWELL BRIDGE RD
    SUITE 200
    TOWSON, MD
    ZIP 21286
  • Phone: (410) 821-7775

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NPI Details

Roger Theodore, M.D. is a pain medicine physical medicine rehabilitation in Towson, MD. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. Roger Theodore, M.D. NPI is 1306841614. 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:

1001 CROMWELL BRIDGE RD
SUITE 200
TOWSON, MD
ZIP 21286-300
Phone: (410) 821-7775
Fax: (410) 821-1320

The NPI 1306841614 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 6/15/2005 and was last updated on 11/28/2016.

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
12081P2900XPhysical Medicine & RehabilitationPain MedicineD0014165MARYLANDYes

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: 11/21/2025

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