Matthew R. Theado
M.D. | Pediatrics | Male
Matthew R. Theado, M.D. is a De Pere, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Matthew R. Theado is
555 Redbird Cir, Suite 200, De Pere, Wisconsin - 54115-7977. He can be contacted on phone at
920-338-6820 and fax number 920-338-6829.
Matthew R. Theado is a sole proprietor of his business.
NPI number (Unique professional ID) for Matthew R. Theado is
1235149139 which was assigned by NPPES on 09 Aug, 2006 and it was last updated on 11 Oct, 2011.
Matthew R. Theado license number is
39636 for Pediatrics (208000000X) in Wisconsin.
Matthew R. Theado is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Matthew R. Theado basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Matthew R. Theado |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Matthew R. Theado address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 555 Redbird Cir, Suite 200
De Pere, WI, 54115-7977
United States |
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| Phone Number : | 920-338-6820 |
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| Fax Number : | 920-338-6829 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235149139 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Aug, 2006 |
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| Last Updated On : | 11 Oct, 2011 |
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Medicare Participation:
Matthew R. Theado participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2961590898 |
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| Medicare Enrollment ID : | I20071110000131 |
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| Primary Specialty : | Family Practice |
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| Medical School : | Medical College Of Wisconsin |
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| Graduation Year : | 1995 |
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| Accepts Medicare? | Yes. Matthew R. Theado accepts medicare insurance. |
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Group Practice Association:
Matthew R. Theado is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Matthew R. Theado is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Bellin Memorial Hospital Inc | 8820900749 | 499 | 555 Redbird Cir
Suite 300
De Pere, WI - 541157980
Ph: 9203386870 | Yes |
| Bellin Memorial Hospital Inc | 8820900749 | 499 | 1630 Commanche Ave
Green Bay, WI - 543135753
Ph: 9204304700 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew R. Theado are as mentioned. Primary taxonomy code for Matthew R. Theado, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 39636 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Matthew R. Theado such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 32447000 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 555 Redbird Cir, Suite 200
De Pere, WI, 54115-7977
United States |
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| Phone Number : | 920-338-6820 |
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| Fax Number : | 920-338-6829 |
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Business Location:
Patients can refer following map for directions to
Matthew R. Theado practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.