Roger Peter Theodore in Macon - Podiatrist
Roger Peter Theodore - NPI 1154398402
Roger Peter Theodore is a Podiatrist in Macon, Georgia. Roger Peter Theodore practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Roger Peter Theodore is 1154398402. The last update date is 2008-05-27.
Roger Peter Theodore's current location address is 841 Mulberry St, Macon, Georgia. You can contact this provider via phone number 4787411192 and fax number 4787410029. The mailing address for Roger Peter Theodore is 841 Mulberry St, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Peter Theodore |
|---|---|
| Address | 841 Mulberry St, Macon, Georgia |
| Phone Number | 4787411192 |
| Fax Number | 4787410029 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1154398402 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2008-05-27 |
Provider Mailing Address Detail
| Address | 841 Mulberry St |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 31201 |
| Phone Number | 4787411192 |
| Fax Number | 4787410029 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 753 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480018494 | RAILROAD MEDICARE | ||
| 00655322A | GA | -- | |
| 480025693 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Roger Peter Theodore?
The Roger Peter Theodore has been issued the NPI (National Provider Identifier) 1154398402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Roger Peter Theodore?
The Roger Peter Theodore is situated at 841 Mulberry St, in the city of Macon, state of GA, with the zip code 31201.
Could you please share the complete physical address where Roger Peter Theodore is geographically located?
The Roger Peter Theodore is physically situated at the following location: 841 Mulberry St, Macon, GA, 31201.
What is Roger Peter Theodore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Roger Peter Theodore is Podiatrist, and the taxonomy code that classifies this field of practice is 213E00000X.
When was the information regarding Roger Peter Theodore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Roger Peter Theodore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-27.