DR. ADREA D THEODORE (NPI# 1215177498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215177498 |
Entity Type | Individual |
Full Name | DR. ADREA D THEODORE |
Credential | M.D., M.P.H. |
Practice Address |
1206-b Vaughn Road Burlington NC 27216 |
Mailing Address |
1206-b Vaughn Road P. O. Box 673 Burlington NC 27216 |
Practice Telephone | 3362280813 |
Practice Fax Number | 3362287087 |
Mailing Telephone | 3362280813 |
Mailing Fax Number | 3362287087 |
Enumeration Date | 2009-02-27 |
Last Update Date | 2009-10-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 9701880 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 981199T | 05 |
Street Address |
1206-B VAUGHN ROAD |
City | BURLINGTON |
State | NC |
Zip Code | 27216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750416772 | George Ernest Rinker | Pathology | Huffman Mill Road, Alamance Regional Medical Center, Burlington, NC 27216 | 2007-02-22 |
1225153190 | Alamance Eldercare, Inc. | Case Management | 2732 Anne Elizabeth Dr., Burlington, NC 27216-0202 | 2007-03-20 |
1841429933 | At&b Residential Youth Group Services | Community Based Residential Treatment Facility, Mental Illness | 215 W. Ruffin St., Burlington, NC 27216-2274 | 2009-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346841376 | Ralf F. Schuler, Dr. Med. Dent., Msd,pllc | Clinic/Center | 205 W Fairhaven Ave Ste C, Burlington, WA 98233-1062 | 2020-11-05 |
1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
1730789686 | Paige Perkins | Licensed Practical Nurse | 5 Hardy Ave, Burlington, VT 05408-1203 | 2020-10-29 |
1811596216 | Convenientmd LLC | Clinic/Center | 181 Cambridge St, Burlington, MA 01803-2922 | 2020-10-19 |
1982202966 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1433 Boone Station Dr, Burlington, NC 27215-8229 | 2020-10-13 |
1578170866 | Private Healthcare Facilities | Clinic/Center | 5617 Spring Valley Rd, Burlington, WI 53105-9003 | 2020-09-30 |
1801402755 | Marnie Meisner | Registered Nurse | 4004 Lake St, Burlington, WI 53105-9449 | 2020-09-16 |
1619582509 | Cheyanne Mckay Alexander | Technician | 369 Hillbilly Heaven Rd, Burlington, WV 26710-7596 | 2020-09-09 |
1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
1689288300 | Barbara A Crotty | Massage Therapist | 2879c Rob Shepard Dr, Burlington, NC 27215-9299 | 2020-09-01 |
Find all providers in BURLINGTON |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992951404 | Howard R. Grant | Pediatrics | Lahey Health System, 41 Mall Rd., Burlington, MA 01805-0001 | 2008-08-15 |
1295900793 | Mdfamily Medical Group | Pediatrics | 1205 Maple Ave, Burlington, NC 27215-6958 | 2008-04-25 |
1790863058 | Warren Kent Bonney | Pediatrics | 3804 S Church St, Burlington, NC 27215-9134 | 2006-11-02 |
1740203215 | Catherine Suzanne Rude | Pediatrics | One South Prospect Street, University Pediatrics, Burlington, VT 05401 | 2006-07-25 |
1316968142 | Lewis R. First | Pediatrics | Given Courtyard S 250, Burlington, VT 05405-0001 | 2006-07-21 |
1699709519 | Karin Reed Minter | Pediatrics | 530 W Webb Ave, Burlington, NC 27217-3706 | 2006-07-10 |
1003859943 | Marcia L Moran | Pediatrics | 2105 Maple Ave, Burlington, NC 27215-6853 | 2006-06-14 |
1699726729 | Wendy Sue Davis | Pediatrics | 108 Cherry St, Burlington, VT 05401 | 2006-05-13 |
1588621544 | Margarita Maria Goldar | Pediatrics | 113 Trail One, Burlington, NC 27215-5531 | 2006-04-26 |
1992761837 | Michelle L Perron | Pediatrics | 1127 North Ave Ste 41, Burlington, VT 05408 | 2006-04-20 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 27216 |
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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.