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DR. AKILIS MIKE THEOHARIDIS D.P.M NPI 1912933474


NPI Information

NPI: 1912933474
Provider Name: DR. AKILIS MIKE THEOHARIDIS, D.P.M
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
407 NE 76TH TER
GLADSTONE, MO
ZIP 64118
Phone: (816) 436-7900
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DR. Akilis Mike Theoharidis, D.P.M is a foot surgery podiatrist in Gladstone, MO with 29 years of experience. DR. Akilis Mike Theoharidis, D.P.M NPI is 1912933474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:1995

The provider's business location address is:

407 NE 76TH TER
GLADSTONE, MO
ZIP 64118-708
Phone: (816) 436-7900
Fax: (816) 436-0999

The NPI 1912933474 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)

The enumeration date for this NPI number is 6/24/2006 and was last updated on 12/23/2020.


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
1213E00000XPodiatrist000747MISSOURINo
2213ES0131XPodiatristFoot Surgery12-00294KANSASNo
3213ES0131XPodiatristFoot Surgery000747MISSOURIYes

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
1308471408MEDICAIDMISSOURI
2480031700OTHERRAILROAD AHN
323501026OTHERBLUE KC
4308471432MEDICAIDMISSOURI
5480031697OTHERRAILROAD GLADSTONE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.