ROGER THEODORE (NPI# 1306841614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306841614 |
| Entity Type | Individual |
| Full Name | ROGER THEODORE |
| Credential | M.D. |
| Practice Address |
1001 Cromwell Bridge Rd Suite 200 Towson MD 21286-3300 |
| Practice Telephone | 4108217775 |
| Practice Fax Number | 4108211320 |
| Mailing Telephone | 4108217775 |
| Mailing Fax Number | 4108211320 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2016-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
D0014165 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154398402 | Roger Peter Theodore | Podiatrist | 841 Mulberry St, Macon, GA 31201 | 2006-03-07 |
| Street Address |
1001 CROMWELL BRIDGE RD SUITE 200 |
| City | TOWSON |
| State | MD |
| Zip Code | 21286-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467995415 | Rosen-hoffberg Rehabilitation & Pain Management | Social Worker | 1001 Cromwell Bridge Rd, Suite 200, Towson, MD 21286-3300 | 2016-11-23 |
| 1801344817 | Stella L Francis | Psychologist | 1001 Cromwell Bridge Rd, Suite 308, Towson, MD 21286-3300 | 2016-09-19 |
| 1841646502 | Aisha Hubbard | Social Worker | 1001 Cromwell Bridge Rd, Suite 212, Towson, MD 21286-3300 | 2016-05-11 |
| 1689049835 | Lakeshia Gilbert | Counselor | 1001 Cromwell Bridge Rd, Suite 212, Towson, MD 21286-3300 | 2015-12-14 |
| 1639563554 | Heather Weaver | Student in an Organized Health Care Education/Training Program | 1001 Cromwell Bridge Rd, 212, Towson, MD 21286-3300 | 2015-03-28 |
| 1538559711 | Arlene Kleinman | Social Worker | 1001 Cromwell Bridge Rd, Suite 200, Towson, MD 21286-3300 | 2015-01-27 |
| 1548658131 | Matthew Sokoloff | Social Worker | 1001 Cromwell Bridge Rd, Suite 212, Towson, MD 21286-3300 | 2015-01-05 |
| 1326436114 | Lola Casandra Mcknight | Counselor | 1001 Cromwell Bridge Rd, Ste 212, Towson, MD 21286-3300 | 2014-12-31 |
| 1871990655 | Jeffrey Keenan Brunell | Social Worker | 1001 Cromwell Bridge Rd, Towson, MD 21286-3300 | 2014-11-22 |
| 1518362367 | Sabrina Panza Shepherd | Speech-Language Pathologist | 1001 Cromwell Bridge Rd, Towson, MD 21286 | 2014-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407894975 | Mehrdad Michael Massumi | Physical Medicine & Rehabilitation | 660 Kenilworth Dr, Suite 200, Towson, MD 21204-2313 | 2006-06-04 |
| 1508380627 | Rosen-hoffberg Rehabilitation and Pain Management Associates | Physical Medicine & Rehabilitation | 1001 Cromwell Bridge Rd Ste 200, Towson, MD 21286-3330 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285123869 | Eastside Medical Care | Physical Medicine & Rehabilitation | 732b E Main St, Salisbury, MD 21804-5037 | 2018-05-09 |
| 1225588676 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 7106 Ridge Rd Ste 100, Rosedale, MD 21237-3876 | 2016-10-10 |
| 1497203558 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6615 Reisterstown Rd Ste 302, Baltimore, MD 21215-2689 | 2016-09-19 |
| 1558757914 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 3413 Olandwood Ct Ste 103, Olney, MD 20832-1489 | 2015-04-13 |
| 1033505391 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 6475 New Hampshire Ave Ste 620, Hyattsville, MD 20783-3280 | 2015-04-13 |
| 1477948842 | Choice Pain & Rebabilitation Center LLC | Physical Medicine & Rehabilitation | 1005 Northpoint Blvd Ste 722, Baltimore, MD 21224-3402 | 2015-04-02 |
| 1225459936 | Pain and Wellness Center of Maryland, LLC | Physical Medicine & Rehabilitation | 601 Post Office Rd Ste 2a, Waldorf, MD 20602 | 2013-12-23 |
| 1922429935 | Health Management and Rehabilitation LLC | Physical Medicine & Rehabilitation | 13907 Willow Tree Dr, Rockville, MD 20850-5434 | 2013-12-17 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| 1871868539 | Physical Medicine Associates Ltd | Physical Medicine & Rehabilitation | 174 Waterfront St, Suite 320, National Harbor, MD 20745 | 2012-03-14 |
| 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.