Theodoros Hailu (NPI# 1003880774, PAC ID# 5698754059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1003880774 |
| PAC ID by PECOS | 5698754059 |
| Professional Enrollment ID | I20041228000083 |
| Full Name | Theodoros Hailu |
| Organization Legal Name | PARAGON CONTRACTING SERVICES LLC |
| Address |
5000 W Oakland Park Blvd Lauderdale Lake FL 33313-1503 |
| Phone Number | 9547356000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 3971417825 |
| Number of Group Practice Members | 199 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100029 | NORTH SHORE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 | 9547356000 | PARAGON CONTRACTING SERVICES LLC |
| 901 45th St, Mangonia Park, FL 33407-2413 | 5618446300 | PARAGON CONTRACTING SERVICES LLC |
| Organization Legal Name | PARAGON CONTRACTING SERVICES LLC |
| Physicians | 200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Ellis | Emergency Medicine | Paragon Contracting Services LLC | 200 Ave F Ne, Winter Haven, FL 33881-4131 |
| Simona Silvestri | Nurse Practitioner | Paragon Contracting Services LLC | 200 Sehospital Ave, Stuart, FL 34994 |
| Monica Bardwell | Nurse Practitioner | Paragon Contracting Services LLC | 301 N Alexander St, Plant City, FL 33563-4303 |
| Mark Kenneth Ellis | Emergency Medicine | Paragon Contracting Services LLC | 10230 W State Rd, 84 A, Davie, FL 33324-4202 |
| Luis E Gutierrez | Internal Medicine | Paragon Contracting Services LLC | 3100 S Douglas Rd, Coral Gables, FL 33134-6914 |
| Doran R Heist | Emergency Medicine | Paragon Contracting Services LLC | 301 N Alexander St, Plant City, FL 33563-4303 |
| Kyle Alexandra Gerakopoulos | Emergency Medicine | Paragon Contracting Services LLC | 21644 State Rd, Suite 7, Boca Raton, FL 33428-1899 |
| Jeffrey E Ingeman | Emergency Medicine | Paragon Contracting Services LLC | 651 E 25 St, Hialeah, FL 33013-3814 |
| Michael L Ferraro | Emergency Medicine | Paragon Contracting Services LLC | 901 45th St, Mangonia Park, FL 33407-2413 |
| Rachel Kleinerman Gober | Emergency Medicine | Paragon Contracting Services LLC | 1400 Nw 10th Ave, Miami, FL 33136-1003 |
| Street Address |
5000 W OAKLAND PARK BLVD |
| City | LAUDERDALE LAKE |
| State | FL |
| Zip | 33313-1503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimeka Mckain- Joseph | Physician Assistant | Tenet Florida Physician Services LLC | 5000 W Oakland Park Blvd, Ft Lauderdale, FL 33313-1503 |
| Jose J Lopez | Internal Medicine | Westside Hospitalist Inc | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1585 |
| Brucha L Dickinson | Pathology | East Coast Pathology Associates, Pa | 5000 W Oakland Park Blvd, Fort Lauderdale, FL 33313-1503 |
| Linda Dolin | Internal Medicine | 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 | |
| Cameron M Conrad | Certified Registered Nurse Anesthetist (crna) | South Florida Anesthesia and Pain Treatment Pa | 5000 W Oakland Park Blvd, Fort Lauderdale, FL 33313-1503 |
| Christopher B Steele | Certified Registered Nurse Anesthetist (crna) | South Florida Anesthesia and Pain Treatment Pa | 5000 W Oakland Park Blvd, Fort Lauderdale, FL 33313-1503 |
| Ralph M Zagha | Urology | 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 | |
| Natasha Lucinda Douglas | Nurse Practitioner | Tenet Florida Physician Services LLC | 5000 W Oakland Park Blvd, Ft Lauderdale, FL 33313-1503 |
| Taice A Taylor | Certified Registered Nurse Anesthetist (crna) | South Florida Anesthesia and Pain Treatment Pa | 5000 W Oakland Park Blvd, Fort Lauderdale, FL 33313-1503 |
| Eddie H Carter | Certified Registered Nurse Anesthetist (crna) | South Florida Anesthesia and Pain Treatment Pa | 5000 W Oakland Park Blvd, Fort Lauderdale, FL 33313-1503 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifton D Okman | Chiropractic | 7244 W Oakland Park Blvd, Lauderhill, FL 33313-1041 | |
| Luis Anaya | Physical Therapy | 7175 -7177 W Oakland Park Blvd, Lauderhill, FL 33313-1050 | |
| Melanie Reese | Optometry | Reese Vision Care Pa | 6244 W Oakland Park Blvd, Sunrise, FL 33313-1214 |
| Lynette Sieracki | Infectious Disease | 4900 W Oakland Park Blvd, Suite 203, Lauderdale Lakes, FL 33313-1501 | |
| Frantz Chery | General Surgery | 4900 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-1501 | |
| Raghav L Seth | Cardiovascular Disease (cardiology) | 5000 W Oakland Park Boulevard, Lauderdale Lakes, FL 33313-1503 | |
| Marie Vales-preval | Physician Assistant | Oscar Mendez Md Pa | 5000 W Oakland Park Blvd, Florida Medical Center, Lauderdale Lakes, FL 33313-1503 |
| Aaron Schwartz | Pulmonary Disease | 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 | |
| Maher Nana | Family Medicine | Farah Medical LLC | 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 |
| Henry Cusnir | Cardiovascular Disease (cardiology) | Fmc Cardiology Panel LLC | 5000 W Oakland Park Blvd, Fort Lauderdale, FL 33313-1503 |
| Find all physicians in zip 33313 | |||
| City | LAUDERDALE LAKE |
| Zip Code | 33313 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAUDERDALE LAKE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Theodoros Hailu.
| 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.