Theodossis Zacharis (NPI# 1205889243, PAC ID# 0648283960) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1205889243 |
| PAC ID by PECOS | 0648283960 |
| Professional Enrollment ID | I20060802000488 |
| Full Name | Theodossis Zacharis |
| Organization Legal Name | PCCC OF VOLUSIA LLC |
| Address |
780 Dunlawton Ave Suite 1 Port Orange FL 32127-4901 |
| Phone Number | 3863226111 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 7911910237 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| 100014 | FLORIDA HOSPITAL NEW SMYRNA |
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1055 N Dixie Fwy, Suite 1, New Smyrna Beach, FL 32168-6201 | 3864230505 | PCCC OF VOLUSIA LLC |
| 780 Dunlawton Ave, Suite 1, Port Orange, FL 32127-4901 | 3863226111 | PCCC OF VOLUSIA LLC |
| Organization Legal Name | PCCC OF VOLUSIA LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika N Morrison | Nurse Practitioner | Pccc of Volusia LLC | 638 W Plymouth Ave, Deland, FL 32720-2521 |
| Christopher S Dibello | Pulmonary Disease | Pccc of Volusia LLC | 1055 N Dixie Fwy, Suite 1, New Smyrna Beach, FL 32168-6201 |
| Rajesh K Ailani | Pulmonary Disease | Pccc of Volusia LLC | 780 Dunlawton Ave, Suite 1, Port Orange, FL 32127-4901 |
| Heaven J Turner | Nurse Practitioner | Pccc of Volusia LLC | 1055 N Dixie Fwy, Suite 1, New Smyrna Beach, FL 32168-6201 |
| Ashley Pascucci | Nurse Practitioner | Pccc of Volusia LLC | 1055 N Dixie Fwy, Suite 1, New Smyrna Beach, FL 32168-6201 |
| Street Address |
780 DUNLAWTON AVE SUITE 1 |
| City | PORT ORANGE |
| State | FL |
| Zip | 32127-4901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria V Vintimilla | Rheumatology | 780 Dunlawton Ave, Suite 1, Port Orange, FL 32127-4901 | |
| Christina Rho | Endocrinology | 780 Dunlawton Ave, Suite 1, Port Orange, FL 32127-4901 | |
| Rajesh K Ailani | Pulmonary Disease | Pccc of Volusia LLC | 780 Dunlawton Ave, Suite 1, Port Orange, FL 32127-4901 |
| Vicente C Trapani | Neurology | 780 Dunlawton Ave, Suite 1, Port Orange, FL 32127-4252 | |
| H. S. Ramesh | Physical Medicine and Rehabilitation | Advanced Pain Management Inc | 780 Dunlawton Ave, Suite 103, Port Orange, FL 32127-4252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Williams | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| David L Meese | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Joseph Mirante | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Michael Munier | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| Andrew H Ritter | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| John S Newman | Certified Registered Nurse Anesthetist (crna) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Anthony T Tucker | Otolaryngology | Coastal Ear Nose and Throat Pa | 1185 Dunlawton Ave, Suite 102, Port Orange, FL 32127-2906 |
| John T Tolland | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Robert J Yu | Colorectal Surgery (proctology) | Meese Tolland Ritter and Williams Md Pa | 1185 Dunlawton Ave, Suite 100, Port Orange, FL 32127-2906 |
| Timothy J Wierzbicki | Neurology | 1211 Dunlawton Ave, Port Orange, FL 32127-2913 | |
| Find all physicians in zip 32127 | |||
| City | PORT ORANGE |
| Zip Code | 32127 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | PORT ORANGE + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Theodossis Zacharis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.