David A Theodoro in Jackson - Thoracic Surgery (cardiothoracic Vascular Surgery)
David A Theodoro - NPI 1073518577
David A Theodoro is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Jackson, Mississippi. David A Theodoro practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for David A Theodoro is 1073518577. The last update date is 2020-08-27.
David A Theodoro's current location address is Po Box 23666, Jackson, Mississippi. You can contact this provider via phone number 6012002780 and fax number 6012002788. The mailing address for David A Theodoro is Po Box 23666, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David A Theodoro |
|---|---|
| Address | Po Box 23666, Jackson, Mississippi |
| Phone Number | 6012002780 |
| Fax Number | 6012002788 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073518577 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2020-08-27 |
Provider Mailing Address Detail
| Address | Po Box 23666 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 3922536660 |
| Phone Number | 6012002780 |
| Fax Number | 6012002788 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 118293 |
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Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36056372 | IL | SUBSTANCE CONTROL | |
| 360957641 | MO | -- | |
| 1102596 | MO | BNDD | |
| 36056372 | IL | LICENSE | |
| 118293 | MO | LICENSE | |
| 36095641 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to David A Theodoro by the Centers for Medicare & Medicaid Services?
The David A Theodoro has been assigned the NPI (National Provider Identifier) 1073518577 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where David A Theodoro is physically located?
The David A Theodoro is physically situated at the following address: Po Box 23666, Jackson, MS, 3922536660.
What is David A Theodoro's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David A Theodoro is Thoracic Surgery (cardiothoracic Vascular Surgery), and the taxonomy classification code that categorizes this area of expertise is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073518577 to David A Theodoro?
The Centers for Medicare & Medicaid Services assigned the 1073518577 to David A Theodoro on 2005-06-20.
As of what date were the details related to David A Theodoro most recently updated or revised?
The information pertaining to David A Theodoro, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-27.