DR. JASON THEODOSAKIS (NPI# 1285041822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285041822 |
| Entity Type | Individual |
| Full Name | DR. JASON THEODOSAKIS |
| Credential | M.D. |
| Practice Address |
5257 N Via Sempreverde Tucson AZ 85750-5967 |
| Practice Telephone | 5205779550 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
19640 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
5257 N VIA SEMPREVERDE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85750-5967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125490 | Arizona Medical Specialty Group, LLC | Nurse Practitioner | 5590 E River Rd., Suite 101, Tucson, AZ 85750 | 2020-05-07 |
| 1962858936 | Honu Counseling Pllc | Community/Behavioral Health | 5855 North Kolb Road Unit 4208, Tucson, AZ 85750 | 2016-05-10 |
| 1750653341 | Patricia Jean Heese | Occupational Therapist | 5410 N Grey Moutain Tr, Tucson, AZ 85750 | 2012-01-30 |
| 1184911257 | Collaborative Associates In Surgical Assisting | Registered Nurse | 5601 E. Camino Del Celador, Tucson, AZ 85750 | 2011-07-08 |
| 1841468584 | Shelly Kay Surber | Nurse Practitioner | Minute Clinic, 6895 E Sunrise Dr., Tucson, AZ 85750 | 2008-02-15 |
| 1982788121 | Laurie Beth Weston | Psychiatry & Neurology | 7921 E Presidio Road, Tucson, AZ 85750 | 2006-10-24 |
| 1518050624 | David Stuart Thompson | Psychiatry & Neurology | 5661 East Shadow View Ct, Tucson, AZ 85750 | 2006-10-02 |
| 1043250541 | Cathy Evelyn Wayand | Registered Nurse | 6890 E Sunrise Drive Ste 120 #223, Tucson, AZ 85750 | 2006-06-07 |
| 1144206806 | John Daniel Mcarthur | Radiology | 5965 N Sabino Shadow Ln, Tucson, AZ 85750 | 2005-12-15 |
| 1972599181 | Howard Hunter Yost | Psychiatry & Neurology | 5520 N Waterfield Dr, Tucson, AZ 85750 | 2005-09-22 |
| Find all providers in zip 85750 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528369774 | Suzanne Lynn Valente | Preventive Medicine | 4775 S Butterfield Dr, Tucson, AZ 85714-3449 | 2010-11-04 |
| 1417181660 | James W. Justice | Preventive Medicine | 3663 E Kingler Spring Pl, Tucson, AZ 85718-2324 | 2009-05-03 |
| 1548416373 | Elizabeth Marie Macneill | Preventive Medicine | 332 S Freeway, Tucson, AZ 85745-3232 | 2008-08-12 |
| 1811106842 | Christian Kline Peters | Preventive Medicine | 6070 W Desert Marigold Ln, Tucson, AZ 85742-8233 | 2007-05-22 |
| 1912046533 | Robert Mark Russell | Preventive Medicine | 11210 E Calle Linda Vis, Tucson, AZ 85748-7839 | 2007-02-06 |
| 1669520730 | Linda Lundergan | Preventive Medicine | Campus Health University of Arizona, 1224 E. Lowell, Tucson, AZ 85721 | 2007-01-08 |
| 1568903094 | Passport Health Holdings, LLC | Preventive Medicine | 6867 N Oracle Rd, Ste 125, Tucson, AZ 85704-4279 | 2017-03-16 |
| 1558589523 | Richard Gerhauser | Preventive Medicine | 5350 E Erickson Dr, Tucson, AZ 85712-2822 | 2007-04-23 |
| 1881740819 | Elizabeth Lee Vliet | Preventive Medicine | 2200 E River Rd, Suite 104, Tucson, AZ 85718-6514 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227906 | Stchealth LLC | Preventive Medicine | 411 S 1st St, Phoenix, AZ 85004-2754 | 2020-05-26 |
| 1376033233 | Passport Health Holdings LLC | Preventive Medicine | 4647 N 32nd Street, Suite 115 1st Floor, Phoenix, AZ 85018-3346 | 2018-05-16 |
| 1578004008 | Passport Health Holdings, LLC | Preventive Medicine | 1116 E Route 66, Flagstaff, AZ 86001-4706 | 2017-03-16 |
| 1558802082 | Passport Health Holdings, LLC | Preventive Medicine | 2601 N. 3rd Street, Ste 102, Phoenix, AZ 85004-1145 | 2017-03-16 |
| 1366983801 | Passport Health Holdings, LLC | Preventive Medicine | 2034 E Southern Ave Ste L, Tempe, AZ 85282-7511 | 2017-03-16 |
| 1295119022 | Arizona Wellness Medicine LLC | Preventive Medicine | 8776 E Shea Blvd Ste 106-196, Scottsdale, AZ 85260-6629 | 2015-07-10 |
| 1558690602 | Carlton Koons Meschievitz | Preventive Medicine | 222 Jacob Ln, Prescott, AZ 86303-8806 | 2009-12-21 |
| 1194961946 | Janine Roumain | Preventive Medicine | 1353 E Brentrup Dr, Tempe, AZ 85283-5018 | 2008-12-29 |
| 1386848547 | Howard Charles Pitluk | Preventive Medicine | 2211 E Camelback Rd, #804, Phoenix, AZ 85016-9033 | 2007-06-12 |
| 1902938616 | Jonathan Berman Weisbuch | Preventive Medicine | 2210 Encanto Dr Nw, Phoenix, AZ 85007-1518 | 2007-03-09 |
| 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.