Theodore Shopov (NPI# 1710016373, PAC ID# 2961581780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1710016373 |
| PAC ID by PECOS | 2961581780 |
| Professional Enrollment ID | I20080506000160 |
| Full Name | Theodore Shopov |
| Organization Legal Name | TRAVIS CORPORATION |
| Address |
439 S Union St 207a People Care Clinic Lawrence MA 01840 |
| Phone Number | 9786819652 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1850355223 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220010 | LAWRENCE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Cambridge St, Cambridge, MA 02141-1001 | 6174411743 | TRAVIS CORPORATION |
| 1019 Iyannough Rd, Suite 3, Hyannis, MA 02601-1839 | 5088628061 | TRAVIS CORPORATION |
| 1019 Iyannough Rd, Hyannis, MA 02601-1839 | 5088628061 | TRAVIS CORPORATION |
| 439 S Union St, 207a People Care Clinic, Lawrence, MA 01840 | 9786819652 | TRAVIS CORPORATION |
| 439 S Union St, Lawrence, MA 01840 | 9786819652 | TRAVIS CORPORATION |
| Organization Legal Name | TRAVIS CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne Van Orman | Psychologist, Clinical | Travis Corporation | 950 Cambridge St, Cambridge, MA 02141-1001 |
| Altagracia Ramirez | Psychiatry | Travis Corporation | 439 S Union St, Suite 207a People Care Clinic, Lawrence, MA 01843-2837 |
| Erin G Mooney | Clinical Social Worker | Travis Corporation | 439 S Union St, Suite 207a People Care Clinic, Lawrence, MA 01843-2837 |
| Street Address |
439 S UNION ST 207A PEOPLE CARE CLINIC |
| City | LAWRENCE |
| State | MA |
| Zip | 01840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claudia A Arrigg | Ophthalmology | Arrigg Associates, P.C. | 439 S Union St, Suite 1101, Lawrence, MA 01843-2800 |
| Reena Gupta | Ophthalmology | Arrigg Associates, P.C. | 439 S Union St, Suite 1101, Lawrence, MA 01843-2800 |
| Karen J Gladstone | Optometry | Arrigg Associates, P.C. | 439 S Union St, Suite 1101, Lawrence, MA 01843-2800 |
| Altagracia Ramirez | Psychiatry | Travis Corporation | 439 S Union St, Suite 207a People Care Clinic, Lawrence, MA 01843-2837 |
| Joseph I Acra | Psychiatry | 439 S Union St, Suite 104, Lawrence, MA 01843-2844 | |
| Stephanie M Dunker | Optometry | Arrigg Associates, P.C. | 439 S Union St, Suite 1101, Lawrence, MA 01843-2800 |
| Christine A Donigian Tisbert | Qualified Audiologist | Arrigg Associates, P.C. | 439 S Union St, Suite 1101, Lawrence, MA 01843-2800 |
| Kathleen D Coale | Physical Therapy | Arrigg Associates, P.C. | 439 S Union St, Suite 1101, Lawrence, MA 01843-2800 |
| Fred G Arrigg Jr. | Otolaryngology | Arrigg Associates, P.C. | 439 S Union St, Suite 1101, Lawrence, MA 01843-2800 |
| Erin G Mooney | Clinical Social Worker | Travis Corporation | 439 S Union St, Suite 207a People Care Clinic, Lawrence, MA 01843-2837 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raju L Navaratnam | General Practice | 100 Franklin St, Lawrence, MA 01840-1190 | |
| Wensheng W Yao | Optometry | 410 Essex St, Lawrence, MA 01840-1214 | |
| Dennis J Hamel | Chiropractic | 493 Essex St, Lawrence, MA 01840-1241 | |
| Michael L Provenzano | Chiropractic | 493 Essex St, Essex Chiropractic O, Lawrence, MA 01840-1241 | |
| Patricio Dhimitri | Psychologist, Clinical | 599 Canal St, Lawrence, MA 01840-1244 | |
| Gail B Wangerin | Certified Clinical Nurse Specialist (cns) | 599 Canal St, Fl 5, Lawrence, MA 01840-1244 | |
| Eva M Shannon | Psychologist, Clinical | 599 Canal St, Lawrence, MA 01840-1244 | |
| Ludger Labissiere | Clinical Social Worker | 599 Canal St, 5th, Lawrence, MA 01840-1244 | |
| Samuel Romero | Clinical Social Worker | 599 Canal St, Lawrence, MA 01840-1244 | |
| William George Chausse | Clinical Social Worker | 599 Canal St, 5w, Lawrence, MA 01840-1244 | |
| Find all physicians in zip 01840 | |||
| City | LAWRENCE |
| Zip Code | 01840 |
| Specialty | PSYCHIATRY |
| City + Specialty | LAWRENCE + PSYCHIATRY |
Please comment or provide details below to improve the information on Theodore Shopov.
| 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.