Athena Theodosatos (NPI# 1730328691, PAC ID# 1759431240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730328691 |
| PAC ID by PECOS | 1759431240 |
| Professional Enrollment ID | I20090603000506 |
| Full Name | Athena Theodosatos |
| Organization Legal Name | THEO MEDICAL DERMATOLOGY LLC |
| Address |
652 Saint Johns Ct Winter Park FL 32792-4917 |
| Phone Number | 4076713634 |
| Gender | F |
| Medical School | UMDNJ NEW JERSEY SCHOOL OF OSTEO MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | DERMATOLOGY |
| Group Practice PAC ID | 4688814999 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 440 W Hwy 436, Adventhealth Centra Care Altamonte, Altamonte Springs, FL 32714-4136 | 4072002300 | ADVENTIST HEALTH SYSTEM/SUNBELT, INC. |
| 3099 Aloma Ave, Winter Park, FL 32792-3702 | 4072002300 | ADVENTIST HEALTH SYSTEM/SUNBELT, INC. |
| 652 Saint Johns Ct, Winter Park, FL 32792-4917 | 4076713634 | THEO MEDICAL DERMATOLOGY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 64% |
| Organization Legal Name | THEO MEDICAL DERMATOLOGY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lillie Albadin | Physician Assistant | Theo Medical Dermatology LLC | 3030 E Semoran Blvd, Suite 258, Apopka, FL 32703-5900 |
| Paul Elmer Neuman | Nurse Practitioner | Theo Medical Dermatology LLC | 3030 E Semoran Blvd, Suite 258, Apopka, FL 32703-5900 |
| Patrick Edward Tolan Iii | Physician Assistant | Theo Medical Dermatology LLC | 201 N Park Ave, Suite 201, Apopka, FL 32703-2507 |
| Street Address |
652 SAINT JOHNS CT |
| City | WINTER PARK |
| State | FL |
| Zip | 32792-4917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan Barr | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Yelena A Atlanova | Obstetrics/gynecology | Womens Care Florida LLC | 10 N Edinburgh Dr, 200 Tampa Bay Womens Care, Winter Park, FL 32792 |
| Allison N Hioki | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, 436 Suite 1000, Winter Park, FL 32792 |
| James N Hartland | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, 436 Suite 1000, Winter Park, FL 32792 |
| Robyn L Zuromski | Physical Therapy | Physiotherapy Works, LLC | 1860 State Rd, Winter Park, FL 32792 |
| Mary Liebermann | Clinical Social Worker | 1908 Howell Branch Rd, Winter Park, FL 32792-1009 | |
| Sandra Harrington Barker | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Gary Barker | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Kaitlyn Kelley | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Alaina Michelle Medvetz | Optometry | Eye Associates of Winter Park | 1928 Howell Branch Rd, Winter Park, FL 32792-1013 |
| Find all physicians in zip 32792 | |||
| City | WINTER PARK |
| Zip Code | 32792 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WINTER PARK + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Athena Theodosatos.
| 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.