MR. THEODROS MARIAM (NPI# 1679743330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679743330 |
| Entity Type | Individual |
| Full Name | MR. THEODROS MARIAM |
| Credential | PA |
| Practice Address |
1033 W Germantown Pike Valley Forge Medical Center & Hospital Norristown PA 19403-3905 |
| Mailing Address |
189 Community Dr Lansdale PA 19446-6212 |
| Practice Telephone | 6105398500 |
| Mailing Telephone | 2158559418 |
| Enumeration Date | 2008-03-09 |
| Last Update Date | 2010-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053056 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1033 W GERMANTOWN PIKE VALLEY FORGE MEDICAL CENTER & HOSPITAL |
| City | NORRISTOWN |
| State | PA |
| Zip Code | 19403-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033119870 | Wayne Miller | Internal Medicine | 1033 W Germantown Pike, Norristown, PA 19403-3905 | 2005-07-22 |
| 1073710117 | Laurel Domenick | Physician Assistant | 1033 W Germantown Pike, Norristown, PA 19403-3905 | 2007-07-02 |
| 1700906807 | Bernard Sobel | Psychiatry & Neurology | 1033 W Germantown Pike, Norristown, PA 19403-3905 | 2007-03-30 |
| 1245350354 | Spiro Kassis | Psychiatry & Neurology | 1033 W Germantown Pike, Norristown, PA 19403-3905 | 2007-03-30 |
| 1134249352 | Judith Gordon | Internal Medicine | 1033 W Germantown Pike, Norristown, PA 19403-3905 | 2007-03-30 |
| 1700910288 | Sumabala Kasibhotla | Internal Medicine | 1033 W Germantown Pike, Norristown, PA 19403-3905 | 2007-03-15 |
| 1114071198 | Westlane D Depew | Internal Medicine | 1033 W Germantown Pike, Norristown, PA 19403-3905 | 2007-01-23 |
| 1073677118 | Rittenhouse Medical Associates, Inc. | Internal Medicine | 1033 W Germantown Pike, Norristown, PA 19403-3905 | 2006-12-21 |
| 1528026671 | Valley Forge Medical Center & Hospital, Inc. | Substance Abuse Rehabilitation Facility | 1033 W Germantown Pike, Norristown, PA 19403-3905 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1255951869 | Jillian Nicole Zerbe | Student in an Organized Health Care Education/Training Program | 3005 Concord Cir, Eagleville, PA 19403 | 2020-04-23 |
| 1649745951 | Gigi Y Frasse | Nurse Practitioner | 10000 Shannondell Drive Main Line Healthcare, Audobon, PA 19403 | 2018-10-12 |
| 1831616002 | Sharlee Dischert | Occupational Therapist | The Arc Alliance Children's Services, 3075 Ridge Pike, Eagleville, PA 19403 | 2017-08-28 |
| 1033633029 | Lauren Aaronson | Social Worker | 2418 Single Tree Lane, Trooper, PA 19403 | 2017-08-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1720526080 | Dayna Greiner | Speech-Language Pathologist | 70 Bristol Court, Eagleville, PA 19403 | 2017-02-07 |
| 1669928636 | Samantha L Hankey | Specialist/Technologist | 1208 Stonybrook Dr, Norristown, PA 19403 | 2016-08-30 |
| 1154788008 | Noel Patrick Hamilton | Nurse Practitioner | 508 Bassett Lane, Norristown, PA 19403 | 2016-01-23 |
| 1265866115 | Christiana Jo Silcox | Counselor | 128 Riversedge Drive, Jeffersonville, PA 19403 | 2013-08-28 |
| Find all providers in zip 19403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346220084 | Douglas Price | Physician Assistant | 306 W Logan St, Norristown, PA 19401-2935 | 2006-01-19 |
| 1184136624 | Jessica Duong | Physician Assistant | 325 W Germantown Pike Ste 301, Norristown, PA 19403-4207 | 2017-10-24 |
| 1730690330 | Megan Robinson Huwe | Physician Assistant | 559 W Germantown Pike, Norristown, PA 19403-4250 | 2017-10-23 |
| 1861826646 | Teresa Meckley | Physician Assistant | 316 Dekalb St, Norristown, PA 19401-4906 | 2013-08-28 |
| 1477811198 | Binju Elias | Physician Assistant | 2521 W Main St, Norristown, PA 19403-3093 | 2012-05-01 |
| 1649570235 | Joseph Patrick Walsh | Physician Assistant | 1301 Powell St, Norristown, PA 19401-3323 | 2010-10-28 |
| 1447386354 | Janie C Choate | Physician Assistant | 1330 Powell St, Suite 510, Norristown, PA 19401-3353 | 2007-02-26 |
| 1811931843 | Michael K. Mccarthy | Physician Assistant | 1301 Powell St, Norristown, PA 19401-3323 | 2006-06-16 |
| 1699718122 | Kristine E. Miller | Physician Assistant | 1301 Powell St, Norristown, PA 19401-3323 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | NORRISTOWN |
| Zip Code | 19403 |
Please comment or provide details below to improve the information on MR. THEODROS MARIAM.
| 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.