Roger Theodore
MD IMMEDIATE CARE LLC


Address: 504 Lewis St, Havre De Grace, MD 21078-3420
Phone: 4432438894

Roger Theodore (NPI# 1306841614, PAC ID# 8224020128) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1306841614
PAC ID by PECOS 8224020128
Professional Enrollment ID I20040331001442
Full Name Roger Theodore
Organization Legal Name MD IMMEDIATE CARE LLC
Address 504 Lewis St
Havre De Grace
MD 21078-3420
Phone Number 4432438894
Gender M
Credential MD
Graduation Year 1963
Primary Specialty GENERAL SURGERY
Secondary Specialties PHYSICAL MEDICINE AND REHABILITATION
Group Practice PAC ID 9830330398
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210006 UNIVERSITY OF MD HARFORD MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
504 Lewis St, Havre De Grace, MD 21078-3420 4432438894 MD IMMEDIATE CARE LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name MD IMMEDIATE CARE LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Tina M Warfield Nurse Practitioner Md Immediate Care LLC 4 W Broadway, Bel Air, MD 21014-3546
Karmachandra Nair Internal Medicine Md Immediate Care LLC 504 Lewis St, Havre De Grace, MD 21078-3420

Office Location

Street Address 504 LEWIS ST
City HAVRE DE GRACE
State MD
Zip 21078-3420

Physicians in the same location

Name Specialty Organization Address
Karmachandra Nair Internal Medicine Md Immediate Care LLC 504 Lewis St, Havre De Grace, MD 21078-3420

Physicians in the same zip code

Name Specialty Organization Address
Samer Saiedy Vascular Surgery Samer Saiedy Md Pa 1500 Blenhiem Farm Ln, Havre De Grace, MD 21078-2042
Dalia A Abaza Physician Assistant Samer Saiedy Md Pa 1500 Blenhiem Farm Ln, Havre De Grace, MD 21078-2042
Judith H Grifasi Optometry 2015 Pulaski Hwy C, Havre De Grace, MD 21078-2128
Scott M Smearman Optometry Seidenberg Protzko Eye Associates 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137
Kimberly A Neutze-heaney Ophthalmology Seidenberg Protzko Eye Associates 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137
James E Stottlemyer Optometry Seidenberg Protzko Eye Associates 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137
Jonathan A Seidenberg Ophthalmology Seidenberg Protzko Eye Associates 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137
Daniel C Byron Optometry Seidenberg Protzko Eye Associates 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137
Henry Alexander Leder Ophthalmology 2023 Pulaski Hwy, Havre De Grace, MD 21078-2137
Tyler F. Smardzewski Chiropractic 2129 Pulaski Hwy 103, Havre De Grace, MD 21078-2141
Find all physicians in zip 21078

Competitor

Search similar physicians

City HAVRE DE GRACE
Zip Code 21078
Specialty GENERAL SURGERY
City + Specialty HAVRE DE GRACE + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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