THEODORE TSANGARIS


Address: 1100 Walnut St, Philadelphia, PA 19107-5563
Phone: 2159556999

THEODORE TSANGARIS (NPI# 1033161682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033161682
Entity Type Individual
Full Name THEODORE TSANGARIS
Credential M.D.
Practice Address 1100 Walnut St
Philadelphia
PA 19107-5563
Practice Telephone 2159556999
Enumeration Date 2006-05-16
Last Update Date 2014-05-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery MD449872 PA Allopathic & Osteopathic Physicians
N 208600000X Surgery D40457 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0370584 05
MD 193521601 05

Office Location

Street Address 1100 WALNUT ST
City PHILADELPHIA
State PA
Zip Code 19107-5563

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932193182 Michael D Stillman Internal Medicine 1100 Walnut St, Suite 601, Philadelphia, PA 19107-5563 2005-09-02
1760968150 Jessica Christina Russo Genetic Counselor, MS 1100 Walnut St, Philadelphia, PA 19107-5563 2018-07-18
1326481565 Jonathan Pan Internal Medicine 1100 Walnut St, 3rd Floor, Philadelphia, PA 19107-5563 2013-04-08
1891030961 Lori Pellegrino Nurse Practitioner 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2012-11-30
1013281633 Catherine Gill-preston Nurse Practitioner 1100 Walnut St, Mob 7th Floor, Philadelphia, PA 19107-5563 2012-02-29
1316225857 Shawnna Cannaday Nurse Practitioner 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-08-02
1003104274 Anirudh Kohli Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-07-21
1730486366 Michael Pucci Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2011-02-17
1801102223 Matthew William Laporta Surgery 1100 Walnut St, Suite 500, Philadelphia, PA 19107-5563 2010-08-23
1437393634 Anne L. Rosenberg, M.d. Specialist 1100 Walnut St, Suite 303, Philadelphia, PA 19107-5563 2009-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1962993170 Brian M Till Surgery 1015 Walnut Street, Suite 620 Curtis, Philadelphia, PA 19107-5005 2018-05-23
1356838932 Walker Lyons Surgery 1015 Walnut St Ste 210, Philadelphia, PA 19107-5005 2018-04-18
1790213114 Matthew Paul Mullarkey Surgery 3401 N Broad St Ste C405, Philadelphia, PA 19140-5103 2017-05-30
1528424090 Zhen Lu Surgery 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 2016-01-13
1235517996 David Kim Surgery 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 2015-05-14
1578941282 Amanda Elizabeth Deliere Surgery 3400 N Broad St, Philadelphia, PA 19140-5104 2015-05-13
1649660804 Deviney Rattigan Surgery 1110 Lombard St Apt 24, Philadelphia, PA 19147-1206 2015-01-27
1346676988 Aviva Wallace Kaplin Surgery 20 E Abington Ave, Philadelphia, PA 19118-3410 2013-09-15
1619300571 Roshin Thomas Surgery 8815 Germantown Ave Fl 2, Philadelphia, PA 19118-2722 2013-08-14
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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