DR. CHRIS THEODOSSIOU (NPI# 1063458438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063458438 |
Entity Type | Individual |
Full Name | DR. CHRIS THEODOSSIOU |
Credential | MD |
Practice Address |
1000 Ochsner Blvd Covington LA 70433-8107 |
Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
Practice Telephone | 9858752828 |
Mailing Telephone | 5048424000 |
Enumeration Date | 2006-06-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD.11395R | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1675679 | 05 |
Street Address |
1000 OCHSNER BLVD |
City | COVINGTON |
State | LA |
Zip Code | 70433-8107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518960723 | T Lanette Watson | Audiologist | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2005-05-23 |
1972145662 | Amanda Marie Ruiz | Physician Assistant | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2019-10-14 |
1861959199 | Lauren Price | Nurse Practitioner | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2019-02-22 |
1407337611 | Sarah Beth Marx | Physician Assistant | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2018-08-25 |
1285166744 | Brandie Baque | Nurse Practitioner | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2017-04-03 |
1851830145 | Hillary P Montalbano | Nurse Practitioner | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2017-02-20 |
1306231436 | Donald Lemieux Jr. | Internal Medicine | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2015-04-06 |
1639588361 | Brett Vance Sorensen | Podiatrist | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2014-08-06 |
1619386737 | Kimberly Toups Prather | Nurse Practitioner | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2014-08-04 |
1205244506 | Christina Lowry Hastings | Nurse Practitioner | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2014-07-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528023843 | Jack E. Saux IIi | Internal Medicine | 1203 S Tyler St Ste 230, Covington, LA 70433-2353 | 2006-04-19 |
1932189016 | Sumathi Siva Smith | Internal Medicine | 1000 Ochsner Blvd., Covington, LA 70433-8107 | 2006-01-17 |
1871571588 | Victoria Lynn Afshani | Internal Medicine | 10157 Eagle Dr, Covington, GA 30014 | 2006-01-03 |
1669821864 | Northshore Oncology Associates, LLC | Internal Medicine | 1203 S Tyler St Ste 230, Covington, LA 70433-2353 | 2016-06-08 |
1326312448 | East Atlanta Hematology & Oncology LLC | Internal Medicine | 10157 Eagle Dr, Covington, GA 30014-3805 | 2012-03-07 |
1043518236 | Northshore Oncology Associates, LLC | Internal Medicine | 1203 S Tyler St, Ste 100, Covington, LA 70433-2353 | 2011-03-11 |
1336279140 | Rockdale Newton Hematology Oncology | Internal Medicine | 4139 Baker St Ne, Covington, GA 30014-1405 | 2007-03-07 |
1427014638 | Greg A. Bizette | Internal Medicine | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2006-04-25 |
1508821372 | James E. Carinder | Internal Medicine | 1203 S Tyler St, Ste 100, Covington, LA 70433-2353 | 2006-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659996544 | Bethesda Medical Clinic Infusion Center LLC | Internal Medicine | 1620 Belle Chasse Hwy Ste 102, Terrytown, LA 70056-7057 | 2020-06-16 |
1336528355 | Lafayette Health Ventures, Inc. | Internal Medicine | 814 Jefferson Ter, New Iberia, LA 70560-5727 | 2015-05-22 |
1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
1760758221 | Thomas Stewart Atkinson | Internal Medicine | 2121 Ridgelake Dr Fl 4, Metairie, LA 70001 | 2012-03-29 |
1548535883 | Aurash Khoobehi | Internal Medicine | 4204 Houma Blvd 2nd Floor, Ej Hem/onc, Metairie, LA 70006-2968 | 2012-03-20 |
1265713572 | Shaista H. Faruqui, M.d. Apmc | Internal Medicine | 5320 Dijon Dr, Baton Rouge, LA 70808-4313 | 2011-08-31 |
1437449949 | Tyler Donald Lash | Internal Medicine | 2600 Kings Hwy Ste 340, Shreveport, LA 71103-3951 | 2011-04-18 |
1700110632 | Marshall L Leary Jr Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-24 |
1942478805 | Bridgette Collins Burow | Internal Medicine | 1430 Tulane Ave # Sl-78, New Orleans, LA 70112-2632 | 2008-02-13 |
1760687230 | Hematology & Specialists LLC | Internal Medicine | 506 Rue De Sante, La Place, LA 70068-5418 | 2007-06-15 |
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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.