Anthony C Theodoris (NPI# 1578675971, PAC ID# 3375525934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1578675971 |
| PAC ID by PECOS | 3375525934 |
| Professional Enrollment ID | I20040607000454 |
| Full Name | Anthony C Theodoris |
| Address |
273 Moriches Rd Saint James NY 11780-2117 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330246 | ST CHARLES HOSPITAL |
| 330185 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Address | Phone | Organization |
|---|---|---|
| 63 Oakcrest Ave, Middle Island, NY 11953-1415 | ||
| 60 N Country Rd, Suite 203, Port Jefferson, NY 11777-2188 | 6315091888 | SUFFOLK CRITICAL CARE ASSOCIATES, LLP |
| 60 N Country Rd, Suite 203, Port Jefferson, NY 11777-2188 | 6319283444 | SUFFOLK PULMONARY ASSOCIATES, LLP |
| 273 Moriches Rd, Saint James, NY 11780-2117 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 93% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 93% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 59% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 59% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 61% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 61% |
| Street Address |
273 MORICHES RD |
| City | SAINT JAMES |
| State | NY |
| Zip | 11780-2117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hiral Patel | Nurse Practitioner | Long Island Comprehensive Medical Care Pllc | 273 Moriches Rd, Saint James, NY 11780-2117 |
| Mitchell Lee Steinberg | Podiatry | 273 Moriches Rd, Saint James, NY 11780-2117 | |
| Joseph Chandrankunnel | Internal Medicine | Long Island Comprehensive Medical Care Pllc | 273 Moriches Rd, Saint James, NY 11780-2117 |
| Christopher Tomaino | Gastroenterology | East Coast Gastroenterology and Endoscopy PC | 273 Moriches Rd, Saint James, NY 11780-2117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Y Goodman | Clinical Social Worker | 564 Moriches Rd, Saint James, NY 11780-1367 | |
| Monica Rose Deschryver | Psychologist, Clinical | 590 A N Country Rd, Saint James, NY 11780-1403 | |
| Richard Girard Domena | Clinical Social Worker | Eastern Suffolk Counseling Lcsw Pllc | 551 N Country Rd, Suite 203, Saint James, NY 11780-1445 |
| Andrew Drost | Clinical Social Worker | Eastern Suffolk Counseling Lcsw Pllc | 551 N Country Rd, Suite 203, Saint James, NY 11780-1445 |
| Roxanne Gail Carfora | Family Medicine | 412 N Country Rd, Suite 10, Saint James, NY 11780-1761 | |
| Margot E Rosenthal | Nurse Practitioner | New York Neuromodulation Medical Pllc | 275 Moriches Rd, Saint James, NY 11780-2150 |
| Kerinna M Mcdonald | Optometry | Swift Optometry Care PC | 275 Moriches Rd, Saint James, NY 11780-2150 |
| Diane Elizabeth Wahne | Nurse Practitioner | New York Neuromodulation Medical Pllc | 275 Moriches Rd, Saint James, NY 11780-2150 |
| Lalaine T Que | Family Medicine | Chs Physician Partners PC | 403 Lake Ave, Saint James, NY 11780-2205 |
| Neena Chaudhari | Internal Medicine | Chs Physician Partners PC | 403 Lake Ave, Saint James, NY 11780-2205 |
| Find all physicians in zip 11780 | |||
| City | SAINT JAMES |
| Zip Code | 11780 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | SAINT JAMES + PULMONARY DISEASE |
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| 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.