DR. DIMITRIOS THEODORIDIS (NPI# 1851368401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851368401 |
| Entity Type | Individual |
| Full Name | DR. DIMITRIOS THEODORIDIS |
| Credential | M.D. |
| Practice Address |
26317 W. Washington Street Petersburg VA 23803-0030 |
| Mailing Address |
8101 Queen Scot Dr Richmond VA 23235-5545 |
| Practice Telephone | 8045247005 |
| Practice Fax Number | 8045244807 |
| Mailing Telephone | 8042762441 |
| Mailing Fax Number | 8045244807 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
0101044634 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
26317 W. WASHINGTON STREET |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-0030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124225701 | Gladys Virlyn Blowe | Nurse Practitioner | 26317 W. Washington Street, Petersburg, VA 23803 | 2007-06-28 |
| 1538377072 | Charles Monroe Davis | Psychiatry & Neurology | 26317 W. Washington Street, Petersburg, VA 23803 | 2007-05-18 |
| 1639232408 | Commonwealth of Virginia Southside Va Training Center | Hospitalist | 26317 W. Washington Street, Petersburg, VA 23803-0000 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295714095 | Daniel Paul Sheneman | Psychiatry & Neurology | 26317 W. Washington St., Petersburg, VA 23803 | 2006-01-11 |
| 1457339558 | Amenra F Tuason | Psychiatry & Neurology | Central State Hospital, Washington St, Petersburg, VA 23803-0030 | 2006-01-09 |
| 1669450912 | Dafferlin Juanita Barnard-dupree | Psychiatry & Neurology | 26317 West Washington Street, Central State Hospital, Petersburg, VA 23803 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851870315 | Pace Mental Heatlh | Psychiatry & Neurology | 8348 Traford Ln Ste 301, Springfield, VA 22152-1650 | 2018-08-07 |
| 1356743280 | The Maia Institute | Psychiatry & Neurology | 2050 Ballenger Ave Ste 200, Alexandria, VA 22314-6847 | 2014-09-23 |
| 1619211836 | Gabriel Koz | Psychiatry & Neurology | 306 Indian Springs Road, Williamsburg, VA 23185 | 2012-11-15 |
| 1740534130 | Ryan S Shugarman Md Pllc | Psychiatry & Neurology | 901 N. Washington St., Suite 601, Alexandria, VA 22314-1535 | 2012-11-06 |
| 1902922503 | Sridhar Yaratha | Psychiatry & Neurology | 5700 W Grace St Ste 100, Richmond, VA 23226-1832 | 2007-03-22 |
| 1134210784 | Avtar S Dhillon | Psychiatry & Neurology | 5483 Mooretown Road, Williamsburg, VA 23188 | 2006-09-27 |
| 1841211745 | Lorraine Sharon Roth | Psychiatry & Neurology | 6178 Edsall Rd, Apt. #96, Alexandria, VA 22304-5881 | 2006-07-23 |
| 1902874605 | Dean Akira Inouye | Psychiatry & Neurology | 720 N Saint Asaph St, Alexandria, VA 22314-1912 | 2006-03-09 |
| 1215915434 | Varun Choudhary | Psychiatry & Neurology | 7501 Boulder View Dr, Suite 601, North Chesterfield, VA 23225-4062 | 2006-01-06 |
| 1326026816 | Dennis Petrocelli | Psychiatry & Neurology | 9512 Iron Bridge Rd, Suite 201, Chesterfield, VA 23832-6458 | 2006-01-04 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
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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.