DR. THEODORE HARRY STATHOS


Address: 9224 Teddy Lane, Suite 200, Lone Tree, CO 80124-6799
Phone: 3037901515

DR. THEODORE HARRY STATHOS (NPI# 1144265315) 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) 1144265315
Entity Type Individual
Full Name DR. THEODORE HARRY STATHOS
Credential MD
Practice Address 9224 Teddy Lane
Suite 200
Lone Tree
CO 80124-6799
Mailing Address 9224 Teddy Ln
Suite 220
Lone Tree
CO 80124-6798
Practice Telephone 3037901515
Practice Fax Number 3037901989
Mailing Telephone 3037901515
Mailing Fax Number 3037901989
Enumeration Date 2006-06-19
Last Update Date 2010-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
33634 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 200295450 A 05
WY 1144265315 05
CO MEDICAL LICENSE 33634 01
CO 01336346 05
CO GROUP MEDICAID 04018362 01
WY GROUP MEDICAID 109864100 01
GROUP NPI 1699895755 01
NE MEDICAL LICENSE 18498 01
NE GROUP MEDICAID 84127410413 01
OK GROUP MEDICAID 200293420 A 01
WY MEDICAL LICENSE 8301A 01

Office Location

Street Address 9224 TEDDY LANE
SUITE 200
City LONE TREE
State CO
Zip Code 80124-6799

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427142843 Sandy H Oesterreicher Pediatrics 9224 Teddy Lane, #200, Lone Tree, CO 80124-6799 2006-10-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700413788 Adam Avant Student in an Organized Health Care Education/Training Program Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 2020-03-27
1265069546 Nikhilesh Srinivasan Student in an Organized Health Care Education/Training Program 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 2020-03-25
1487281200 Caden Nowak Student in an Organized Health Care Education/Training Program 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 2020-03-23
1427618305 University of Colorado Hospital Authority Clinic/Center 9548 Park Meadows Dr, Lone Tree, CO 80124 2019-06-13
1225505746 Justin Sean Ashurst Registered Nurse 10240 Meadows Dr, Lone Tree, CO 80124 2018-11-02
1396257143 University Physicians, Incorporated Family Medicine 9548 Park Meadows Drive, Lone Tree, CO 80124 2017-11-02
1861928236 Jennifer Kouri Student in an Organized Health Care Education/Training Program 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 2017-05-04
1013443787 Graham Litchman Surgery 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 2017-05-02
1609324466 Amy Lim Registered Nurse 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 2016-09-21
1770933251 Richard Kenyon French Jr. Optometrist 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 2016-06-15
Find all providers in zip 80124

Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609216183 Timothy A Hadley Pediatrics 9224 Teddy Ln Ste 200, Lone Tree, CO 80124-6799 2013-06-28
1255431334 Ronald Dean Holmes Pediatrics 9224 Teddy Ln, #200, Lone Tree, CO 80124-6798 2006-09-25
1588290647 Healthone Clinic Services Medical Specialties LLC Pediatrics 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 2020-03-20
1699895755 Rocky Mountain Pediatric Gastroenterology Pediatrics 10465 Park Meadows Dr Ste 201, Lone Tree, CO 80124-5321 2007-03-30
1427142843 Sandy H Oesterreicher Pediatrics 9224 Teddy Lane, #200, Lone Tree, CO 80124-6799 2006-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144848664 Healthone Clinic Services Medical Specialties LLC Pediatrics 2055 N High St Ste 270, Denver, CO 80205-5503 2020-07-10
1871701441 Edwin F. Dezoeten Pediatrics 13123 East 16th Avenue, The Children's Hospital, Aurora, CO 80045-7106 2007-05-18
1942421102 Seth Steven Septer Pediatrics 4125 Briargate Parkway, Suite 100, Colorado Springs, CO 80920 2007-05-02
1275629990 Aziz John Yazdi Pediatrics 2925 Professional Pl Ste 103, Colorado Springs, CO 80904-8125 2006-10-04
1275570053 Thomas R Walker Pediatrics 13123 E 16th Ave # B290, Aurora, CO 80045-7106 2006-06-01
1518387448 Dania Brigham Pediatrics 13001 E 17th Pl, Aurora, CO 80045 2014-04-18
1801215298 Kent David Rosenwald Pediatrics 13123 E 16th Ave, Aurora, CO 80045 2014-04-14
1780029579 Marisa Laura Stahl Pediatrics 13123 E 16th Ave, Aurora, CO 80045-7106 2013-05-07
1558603126 Alexandra Leigh Kilgore Pediatrics 13123 E 16th Ave, Digestive Health Institute, Aurora, CO 80045-7106 2013-03-21
1811238157 Pediatric Gi Consultants, P.C. Pediatrics 1601 E 19th Ave, Suite #3500, Denver, CO 80218-1216 2013-03-12
Find all providers with the same taxonomy

Competitor

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City LONE TREE
Zip Code 80124

Improve Information

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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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