CONSTANTINE THEOHARIS (NPI# 1114048899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114048899 |
| Entity Type | Individual |
| Full Name | CONSTANTINE THEOHARIS |
| Credential | M.D. |
| Practice Address |
4085 De Zavala Rd Suite 200 Shavano Park TX 78249-2084 |
| Mailing Address |
Po Box 681149 Suite 400 San Antonio TX 78268-1149 |
| Practice Telephone | 2105754739 |
| Mailing Telephone | 2105586288 |
| Mailing Fax Number | 2105586289 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
P5484 | TX | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301070815 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4085 DE ZAVALA RD SUITE 200 |
| City | SHAVANO PARK |
| State | TX |
| Zip Code | 78249-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248911 | Joyce Gensberg Schwartz | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249 | 2005-07-08 |
| 1518327568 | Sigma Physician Associates Pllc | Internal Medicine | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2016-03-03 |
| 1326334392 | Michael Maloy Jr. | Internal Medicine | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2011-06-28 |
| 1902106347 | Melina Shabani | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2010-11-02 |
| 1063678894 | Michael N Wall, Md | Internal Medicine | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2008-07-31 |
| 1962522508 | Emily Frances Gorman | Pathology | 4085 De Zavala Rd, Shavano Park, TX 78249-2084 | 2007-03-29 |
| 1134231186 | Shakil H Merchant | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-08-31 |
| 1902846033 | Paula R Larson | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-07 |
| 1013957265 | Stephen L Cunningham | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-07 |
| 1265472310 | John H Stuckey | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248911 | Joyce Gensberg Schwartz | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249 | 2005-07-08 |
| 1902106347 | Melina Shabani | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2010-11-02 |
| 1962522508 | Emily Frances Gorman | Pathology | 4085 De Zavala Rd, Shavano Park, TX 78249-2084 | 2007-03-29 |
| 1013957265 | Stephen L Cunningham | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-07 |
| 1265472310 | John H Stuckey | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-07 |
| 1679512206 | Christopher Ackley | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-06-06 |
| 1912954025 | South Texas Pathology Associates LLP | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-05-27 |
| 1467409532 | Teresa Hayes | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-05-27 |
| 1740237825 | Kristen J Lancaster | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-05-27 |
| 1700832813 | John D Metter | Pathology | 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249-2084 | 2006-05-26 |
| Find all providers in SHAVANO PARK | ||||
| City | SHAVANO PARK |
| Zip Code | 78249 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.