Dr. Theodore Harry Stathos
MD | Pediatric Gastroenterology | Male
Dr. Theodore Harry Stathos, MD is a Lone Tree, Colorado based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. Theodore Harry Stathos is
9224 Teddy Lane, Suite 200, Lone Tree, Colorado - 80124-6799. He can be contacted on phone at
303-790-1515 and fax number 303-790-1989.
Dr. Theodore Harry Stathos is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Theodore Harry Stathos is
1144265315 which was assigned by NPPES on 19 Jun, 2006 and it was last updated on 28 Sep, 2010.
Dr. Theodore Harry Stathos license number is
33634 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Colorado.
Dr. Theodore Harry Stathos specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. Theodore Harry Stathos basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Dr. Theodore Harry Stathos |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Theodore Harry Stathos 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 : | 9224 Teddy Lane, Suite 200
Lone Tree, CO, 80124-6799
United States |
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| Phone Number : | 303-790-1515 |
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| Fax Number : | 303-790-1989 |
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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 : | 1144265315 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jun, 2006 |
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| Last Updated On : | 28 Sep, 2010 |
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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 Dr. Theodore Harry Stathos are as mentioned. Primary taxonomy code for Dr. Theodore Harry Stathos, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 33634 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Theodore Harry Stathos such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 04018362 | Other | CO | GROUP MEDICAID |
| 18498 | Other | NE | MEDICAL LICENSE |
| 84127410413 | Other | NE | GROUP MEDICAID |
| 200293420 A | Other | OK | GROUP MEDICAID |
| 01336346 | MEDICAID | CO | |
| 1144265315 | MEDICAID | WY | |
| $$$$$$$$$01 | MEDICAID | NE | |
| 200295450 A | MEDICAID | OK | |
| 8301A | Other | WY | MEDICAL LICENSE |
| 33634 | Other | CO | MEDICAL LICENSE |
| 109864100 | Other | WY | GROUP MEDICAID |
| 1699895755 | Other | | GROUP NPI |
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 : | 9224 Teddy Ln, Suite 220
Lone Tree, CO, 80124-6798
United States |
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| Phone Number : | 303-790-1515 |
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| Fax Number : | 303-790-1989 |
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Business Location:
Patients can refer following map for directions to
Dr. Theodore Harry Stathos practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.