THEODORE LESLIE DEWEESE M.D. NPI 1528003373

NPI Information

NPI: 1528003373
Provider Name: THEODORE LESLIE DEWEESE, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
600 N WOLFE ST
BALTIMORE, MD
ZIP 21287
Phone: (410) 955-8964
Get Directions

Theodore Leslie Deweese, M.D. is a radiation oncology radiology in Baltimore, MD with 34 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Theodore Leslie Deweese, M.D. NPI is 1528003373. 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:

600 N WOLFE ST
BALTIMORE, MD
ZIP 21287-005
Phone: (410) 955-8964

The NPI 1528003373 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 6/17/2006 and was last updated on 1/17/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	D47485	MARYLAND	No
2	2085R0001X	Radiology	Radiation Oncology	D14152	MARYLAND	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
1	KR52546M	MEDICARE PIN	MARYLAND
2	376561000	MEDICAID	MARYLAND
3	G06594	MEDICARE UPIN	MARYLAND
4	232880YFUV	MEDICARE PIN	MARYLAND

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

NPI Synchronization or Removal

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