Akilis Mike Theoharidis in Gladstone - Foot Surgery

Akilis Mike Theoharidis - NPI 1912933474

Akilis Mike Theoharidis is a Foot Surgery in Gladstone, Missouri. Akilis Mike Theoharidis practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Akilis Mike Theoharidis is 1912933474. The last update date is 2020-12-23.

Akilis Mike Theoharidis's current location address is 407 Ne 76th Ter, Gladstone, Missouri. You can contact this provider via phone number 8164367900 and fax number 8164360999. The mailing address for Akilis Mike Theoharidis is 407 Ne 76th Ter, Gladstone, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Akilis Mike Theoharidis
Address 407 Ne 76th Ter, Gladstone, Missouri
Phone Number 8164367900
Fax Number 8164360999
Sole Proprietor N
Credentials D.P.M

NPI Number Detail

NPI Number 1912933474
Provider Enumeration Date 2006-06-24
Last Updated Date 2020-12-23

Provider Mailing Address Detail

Address 407 Ne 76th Ter
City Gladstone
State Missouri (MO)
Post Code 641181708
Phone Number 8164367900
Fax Number 8164360999

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 12-00294
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
308471408 MO --
480031700 RAILROAD AHN
308471432 MO --
23501026 BLUE KC
480031697 RAILROAD GLADSTONE

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FAQs about Akilis Mike Theoharidis

What is the unique identification code assigned to Akilis Mike Theoharidis by the Centers for Medicare & Medicaid Services?

The Akilis Mike Theoharidis has been issued the NPI (National Provider Identifier) 1912933474. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Akilis Mike Theoharidis is physically located?

The Akilis Mike Theoharidis is situated at the following address: 407 Ne 76Th Ter, Gladstone, MO 641181708.

What is Akilis Mike Theoharidis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Akilis Mike Theoharidis's specialized field of practice is Foot Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0131X.

On what date did Akilis Mike Theoharidis receive its 1912933474 assignment from the Centers for Medicare & Medicaid Services?

The Akilis Mike Theoharidis was assigned its 1912933474 on 2006-06-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Akilis Mike Theoharidis's details last updated?

The information pertaining to the Akilis Mike Theoharidis, including its address, specialty, and other details, was most recently updated on 2020-12-23.

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