Kevin P Theodorou (NPI# 1790898880, PAC ID# 2163415456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1790898880 |
| PAC ID by PECOS | 2163415456 |
| Professional Enrollment ID | I20040405000162 |
| Full Name | Kevin P Theodorou |
| Address |
10585 N Tatum Blvd Suite D137 Paradise Valley AZ 85253-1073 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030024 | ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10585 N Tatum Blvd, Suite D137, Paradise Valley, AZ 85253-1073 |
| Street Address |
10585 N TATUM BLVD SUITE D137 |
| City | PARADISE VALLEY |
| State | AZ |
| Zip | 85253-1073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayy S Deadrick | Family Medicine | Manzanita Medical Pllc | 10585 N Tatum Blvd, Suite D134, Paradise Valley, AZ 85253-1073 |
| Shayna M Mansfield | Family Medicine | Manzanita Medical Pllc | 10585 N Tatum Blvd, Suite D134, Paradise Valley, AZ 85253-1073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian Rainer | Internal Medicine | Sunbelt Clinics Pllc | 4851 E Turquoise Ave, Paradise Valley, AZ 85253-1038 |
| Daniel Gallegos | Nurse Practitioner | Sunbelt Clinics Pllc | 4851 E Turquoise Ave, Paradise Valley, AZ 85253-1038 |
| Toni L Harrison | Anesthesiology | 10595 N Tatum Blvd, Suite E141, Paradise Valley, AZ 85253-1072 | |
| Kathryn A Demarco | Physician Assistant | Stonecreek Medical Associates PC | 10565 N Tatum Blvd, Suite B116, Paradise Valley, AZ 85253-1095 |
| Gerald S Asin | Internal Medicine | Stonecreek Medical Associates PC | 10565 N Tatum Blvd, Suite B116, Paradise Valley, AZ 85253-1095 |
| Shahram Askari | Podiatry | Comprehensive Interventional Care Centers, Pllc | 10555 N Tatum Blvd, Suite A101, Paradise Valley, AZ 85253-1096 |
| Lester R Klebe | Podiatry | 10555 N Tatum Blvd, Suite A101, Paradise Valley, AZ 85253-1096 | |
| Kimberly K Arnold | Nurse Practitioner | Banner Urgent Care Services LLC | 10330 N Scottsdale Rd, Suite 25, Scottsdale, AZ 85253-1427 |
| Maria L Arndt | Nurse Practitioner | Banner Urgent Care Services LLC | 10330 N Scottsdale Rd, Suite 25, Scottsdale, AZ 85253-1427 |
| Raelynn M Musick | Nurse Practitioner | Banner Urgent Care Services LLC | 10330 N Scottsdale Rd, Suite 25, Scottsdale, AZ 85253-1427 |
| Find all physicians in zip 85253 | |||
| City | PARADISE VALLEY |
| Zip Code | 85253 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PARADISE VALLEY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kevin P Theodorou.
| 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.