DR. THEODORE DONALD CLOSE (NPI# 1215998059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215998059 |
| Entity Type | Individual |
| Full Name | DR. THEODORE DONALD CLOSE |
| Credential | MD |
| Practice Address |
77 Miller Rd Suite 1 Castleton NY 12033 |
| Practice Telephone | 5184778761 |
| Practice Fax Number | 5184772251 |
| Mailing Telephone | 5184778761 |
| Mailing Fax Number | 5184772251 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 138214 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00833803 | 05 |
| Street Address |
77 MILLER RD SUITE 1 |
| City | CASTLETON |
| State | NY |
| Zip Code | 12033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285694620 | Marilyn W Caramore | Pediatrics | 77 Miller Rd, Suite 1, Castleton, NY 12033 | 2006-03-27 |
| 1740475417 | Michael A. Thomson | Specialist | 77 Miller Rd, Suite 201, Castleton, NY 12033-4022 | 2007-09-06 |
| 1669589792 | Pondview Pediatrics LLP | Pediatrics | 77 Miller Rd, Suite 1, Castleton, NY 12033 | 2006-08-24 |
| 1992759245 | Michael Andrew Thomson | Internal Medicine | 77 Miller Rd, Suite 201, Castleton, NY 12033-4022 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598263428 | Taylor M Lanoue | Physical Therapist | 81 Miller Road, Suite 400, Castleton, NY 12033 | 2018-01-25 |
| 1033586631 | Shannon Horan | Licensed Practical Nurse | 2 Anderson Avenue, Castleton, NY 12033 | 2015-08-31 |
| 1528335510 | Anne Valerio Goff | Social Worker | 10 Empire State Blvd., Questar IIi, Castleton, NY 12033 | 2011-11-19 |
| 1740566611 | Dana Garber | Local Education Agency (LEA) | 10 Empire Blvd, Castleton, NY 12033 | 2011-10-24 |
| 1487937769 | Frances F Owen | Social Worker | 1477 So. Schodack Road, Maple Hill Middle School, Castleton, NY 12033 | 2011-09-23 |
| 1083902530 | Stacy Marie Herron | Speech-Language Pathologist | 80 Scott Avenue, Castleton, NY 12033 | 2011-07-19 |
| 1578681425 | Phillip S Weisburgh | Pharmacist | 1645 Columbia Tpk, Castleton, NY 12033 | 2007-03-27 |
| 1831244698 | Schodack Central School District | Local Education Agency (LEA) | 1216 Maple Hill Road, Castleton, NY 12033 | 2007-01-24 |
| 1174607972 | Donna Schaefer | Physician Assistant | Community Care Schodack, 81 Miller Road, Suite 800, Castleton, NY 12033 | 2006-10-25 |
| 1184675142 | Marcella Barbour Fiacco | Dietitian, Registered | 1523 Columbia Turnpike, Serenity Day Spa, Castleton, NY 12033 | 2006-05-15 |
| Find all providers in zip 12033 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902240617 | Krista Lynn Warfield | Pediatrics | 77 Miller Rd Ste 1, Castleton, NY 12033-4040 | 2013-04-24 |
| 1285694620 | Marilyn W Caramore | Pediatrics | 77 Miller Rd, Suite 1, Castleton, NY 12033 | 2006-03-27 |
| 1730149360 | Kristine Loparo Heck | Pediatrics | 77 Miller Road, Suite 1, Castleton, NY 12033 | 2006-03-27 |
| 1053303107 | Rebecca Ann Gildersleeve | Pediatrics | 35 Empire State Blvd, Castleton, NY 12033-9777 | 2005-08-16 |
| 1366638173 | Tera Nikole Hetrick-platte | Pediatrics | 35 Empire State Blvd, Castleton, NY 12033-9777 | 2007-09-15 |
| 1669589792 | Pondview Pediatrics LLP | Pediatrics | 77 Miller Rd, Suite 1, Castleton, NY 12033 | 2006-08-24 |
| 1952365579 | Karen Marie Kennette | Pediatrics | 77 Miller Road, Suite 1, Castleton, NY 12033 | 2006-04-12 |
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| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
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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.