DR. SPIRO T THEODORE (NPI# 1457358855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457358855 |
| Entity Type | Individual |
| Full Name | DR. SPIRO T THEODORE |
| Credential | D.C. |
| Practice Address |
12105 Darnestown Rd Suite L-8 Gaithersburg MD 20878-2217 |
| Practice Telephone | 3018690006 |
| Practice Fax Number | 3018690201 |
| Mailing Telephone | 3018690006 |
| Mailing Fax Number | 3018690201 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 02045 | MD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BC/BS OF MD | KCS6PO | 01 |
| DC | BC/BS OF DC | S-860-0001 | 01 |
| MD | MAMSI | 349882 | 01 |
| Street Address |
12105 DARNESTOWN RD SUITE L-8 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20878-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871921700 | Carol Keller | Counselor | 12105 Darnestown Rd, Suite 28, Gaithersburg, MD 20878-2217 | 2013-11-01 |
| 1740490242 | Spiros T Theodore Dc PC | Chiropractor | 12105 Darnestown Rd, Suite L-8, Gaithersburg, MD 20854 | 2007-05-23 |
| 1376693549 | Joann Theodore | Dietitian, Registered | 12105 Darnestown Rd, Suite L8, Gaithersburg, MD 20878-2217 | 2007-01-11 |
| 1962587063 | Farnoush Mirmiran | Dentist | 12105 Darnestown Rd, Suite 18, Gaithersburg, MD 20878 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1891253621 | Patricia Jeanette Engel | Speech-Language Pathologist | 851 Quince Orchard Blvd., Brown Station Es, Gaithersburg, MD 20878 | 2019-03-11 |
| 1093270340 | Adeola Atinuke Aremoh | Specialist | 652 Center Point Way, Gaithersburg, MD 20878 | 2019-01-31 |
| 1932606175 | Agnes H. Donahue | Dentist | 7 Melmark Ct, Gaithersburg, MD 20878 | 2018-04-12 |
| 1962903864 | Quince Orchard Dental Specialists LLC | Dentist | 849 Quince Orchard Blvd Ste E, Gaithersburg, MD 20878 | 2018-02-26 |
| 1366958654 | Pcd Orthodontics, LLC | Dentist | 11904-d Darnestown Road, North Potomac, MD 20878 | 2017-12-21 |
| 1235677139 | Gaithersburg Anesthesia, LLC | Anesthesiology | 900 Wind River Lane Ste 106, Gaithersburg, MD 20878 | 2017-02-10 |
| 1356884209 | Meaghan Hitt | Behavioral Analyst | 11333 Brandy Hall Ln, North Potomac, MD 20878 | 2016-11-27 |
| 1598215162 | Holly Akli Lcsw-c LLC | Social Worker | 9711 Washingtonian Blvd, Gaithersburg, MD 20878 | 2016-10-07 |
| 1891243390 | Darvin Joy | Pharmacist | 704 Quince Orchard Rd, Gaithersburg, MD 20878 | 2016-09-14 |
| Find all providers in zip 20878 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262281 | Matthew Tilkin | Chiropractor | 18310 Montgomery Village Ave Ste 120, Gaithersburg, MD 20879-3556 | 2019-08-30 |
| 1023441540 | Cheng Tan | Chiropractor | 18514 Office Park Dr, Montgomery Village Ave, Gaithersburg, MD 20886-0585 | 2013-08-20 |
| 1336480888 | Sangbum Joo | Chiropractor | 101 Lakeforest Blvd Ste 395, Gaithersburg, MD 20877-2611 | 2013-03-08 |
| 1134478407 | Adjei Mensah | Chiropractor | 1 Whetstone Dr, Gaithersburg, MD 20877-2729 | 2012-09-02 |
| 1902160898 | Acute Spine Therapy & Rehab, LLC | Chiropractor | 20 Montgomery Village Ave, Suite A, Gaithersburg, MD 20879-3581 | 2012-06-26 |
| 1205116159 | Life Chiropractic of Gaithersburg | Chiropractor | 461 S Frederick Ave, Gaithersburg, MD 20877-2326 | 2011-08-24 |
| 1417246463 | Jung Eun Choi | Chiropractor | 481 N Frederick Ave Ste 230, Gaithersburg, MD 20877-2471 | 2011-03-30 |
| 1750609160 | Chiropractic and Wellness Center.inc | Chiropractor | 438 N Frederick Ave Ste 435, Gaithersburg, MD 20877-2562 | 2010-05-10 |
| 1740476753 | Clark Chiropractic Center, Inc. | Chiropractor | 418 E Diamond Ave, Gaithersburg, MD 20877-3018 | 2007-09-24 |
| 1538372008 | Grace E Lohr | Chiropractor | 15968 Shady Grove Road, Gaithersburg, MD 20877 | 2007-05-08 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20878 |
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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.