GEORGE H THEODORE


Address: 175 Cambridge St, 4th Floor, Boston, MA 02114-2743
Phone: 6177247009

GEORGE H THEODORE (NPI# 1639171101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639171101
Entity Type Individual
Full Name GEORGE H THEODORE
Credential M.D.
Practice Address 175 Cambridge St
4th Floor
Boston
MA 02114-2743
Mailing Address Po Box 86
Hingham
MA 02043-0086
Practice Telephone 6177247009
Practice Fax Number 6176431006
Mailing Telephone 7817499071
Mailing Fax Number 7817492133
Enumeration Date 2005-08-12
Last Update Date 2009-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
150940 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 3152502 05

Office Location

Street Address 175 CAMBRIDGE ST
4TH FLOOR
City BOSTON
State MA
Zip Code 02114-2743

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134614738 Allison Marie Caravana-lilly Social Worker 175 Cambridge St, Boston, MA 02114-2743 2018-06-26
1366935249 Lisa Goss Staffiere Social Worker 175 Cambridge St, Boston, MA 02114-2743 2018-06-14
1275037343 Amanda May Heater Tourjee Nurse Practitioner 175 Cambridge St, Boston, MA 02114-2743 2018-03-22
1184139677 Angela Kristen Stearns Physical Therapy Assistant 175 Cambridge St, Boston, MA 02114-2743 2017-12-06
1215389879 Nikolaos Paschos Orthopaedic Surgery 175 Cambridge St, Boston, MA 02114 2016-07-07
1447621305 Dana Jill Hindman Physical Therapist 175 Cambridge St, 4th Floor, Boston, MA 02114-2743 2015-10-16
1366820854 Melissa Ann Summers Orthopaedic Surgery 175 Cambridge St, Boston, MA 02114-2743 2015-05-15
1063809895 Jessica Levitsky Physical Therapy Assistant 175 Cambridge St, Suite 470, Boston, MA 02114-2743 2015-04-20
1285020990 Katharine S. Davidoff Pediatrics 175 Cambridge St, Boston, MA 02114-2743 2015-04-09
1972995702 Emily Darlington Roy Physical Therapist 175 Cambridge St, Suite 470, Boston, MA 02114-2743 2015-03-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
Find all providers in zip 02114

Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093210718 Yechiel Nisan Gellman Orthopaedic Surgery New England Baptist Hospital, 125 Parker Hill Avenue, Boston, MA 02120-2847 2018-03-26
1386672343 Kenneth M Leavitt Orthopaedic Surgery 125 Parker Hill Ave, Ste 390, Boston, MA 02120-2847 2006-06-29
1215925888 George H. Theodore, Md PC Orthopaedic Surgery 175 Cambridge St, 4th Floor, Boston, MA 02114-2743 2005-10-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447679428 Mostafa Abousayed Orthopaedic Surgery 15 Roche Brothers Way Ste 200, North Easton, MA 02356-1000 2014-04-07
1265434229 Thom A. Tarquinio Orthopaedic Surgery 123 Summer St, Suite 320, Worcester, MA 01608-1216 2005-06-02
1235399924 Craig Richard Lareau Orthopaedic Surgery 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107 2008-06-16
1790824282 Morton D Lynn Orthopaedic Surgery 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107 2007-02-05
1871530980 Mark Paul Slovenkai Orthopaedic Surgery 840 Winter Street, Waltham, MA 02451-1433 2006-05-31
1639139868 Thomas Aloysius Mcdonald Orthopaedic Surgery 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 2006-03-23
1689649006 Eric Michael Bluman Orthopaedic Surgery 1153 Centre Street, Suite 56, Jamaica Plain, MA 02130 2006-02-20

Competitor

Search similar providers

City BOSTON
Zip Code 02114

Improve Information

Please comment or provide details below to improve the information on GEORGE H THEODORE.

Dataset Information

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.

Trending Searches