DR. THEODORE STEVE STAMATAKOS (NPI# 1720007099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720007099 |
| Entity Type | Individual |
| Full Name | DR. THEODORE STEVE STAMATAKOS |
| Credential | M.D. |
| Practice Address |
1428 Ellen St Suite A Monroe NC 28112-5173 |
| Mailing Address |
9735 Kincey Ave Suite 201 Huntersville NC 28078-9118 |
| Practice Telephone | 7042894361 |
| Practice Fax Number | 7042834705 |
| Mailing Telephone | 7044142870 |
| Mailing Fax Number | 7044142860 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 200000981 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1428 ELLEN ST SUITE A |
| City | MONROE |
| State | NC |
| Zip Code | 28112-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407886534 | Total Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 1428 Ellen St, Suite C, Monroe, NC 28112-5285 | 2006-07-04 |
| 1255537403 | Providence Urology, Pllc | Specialist | 1428 Ellen St, Suite A, Monroe, NC 28112-5285 | 2007-06-25 |
| 1295754562 | Thomas C Leitner | Specialist | 1428 Ellen St, Suite A, Monroe, NC 28112-5173 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154855740 | Georgia Urology Pa | Urology | 2161 W Spring St., Suite C, Monroe, GA 30655-3196 | 2017-04-20 |
| 1184089989 | Georgia Urology Pa | Urology | 2151b West Spring St, Ste 210, Monroe, GA 30655-3115 | 2015-12-21 |
| 1629267216 | Twenty First Century Urology Pllc | Urology | 47 Mansion Ridge Blvd, Monroe, NY 10950-5569 | 2007-10-18 |
| 1376629014 | Alan Howard Lieberman | Urology | 52 Constitution Dr, Monroe, NJ 08831-7935 | 2006-10-27 |
| 1760418396 | Urology Clinic of Northeast Louisiana - A Medical Corporation | Urology | 711 Saint John Street, Monroe, LA 71201-8435 | 2006-06-24 |
| 1891737284 | John Michael Cage | Urology | 711 Saint John St, Monroe, LA 71201-8435 | 2006-06-12 |
| 1578534384 | John L Damiani | Urology | 214 E Elm Ave Ste 101, Monroe, MI 48162 | 2006-01-30 |
| 1891773297 | Richard Guy Sowden | Urology | 1503 E Franklin St, Monroe, NC 28112-5161 | 2006-01-05 |
| 1669474128 | Don F Marx | Urology | 3510 Magnolia Cv, Suite 170, Monroe, LA 71203-2372 | 2005-08-15 |
| 1003816166 | F. Peter Nicholson | Urology | 2161 W Spring St Ste C, Monroe, GA 30655-3196 | 2005-07-29 |
| Find all providers in MONROE | ||||
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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.