| Dr Theodore Harry Stathos, MD | |
|
9224 Teddy Lane, Suite 200, Lone Tree, CO 80124-6799 | |
| (303) 790-1515 | |
| (303) 790-1989 |
| Full Name | Dr Theodore Harry Stathos |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 9224 Teddy Lane, Lone Tree, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144265315 | NPI | - | NPPES |
| 04018362 | Other | CO | GROUP MEDICAID |
| 1144265315 | Medicaid | WY | |
| 200293420 A | Other | OK | GROUP MEDICAID |
| 200295450 A | Medicaid | OK | |
| 33634 | Other | CO | MEDICAL LICENSE |
| 109864100 | Other | WY | GROUP MEDICAID |
| 01336346 | Medicaid | CO | |
| 1699895755 | Other | GROUP NPI | |
| 18498 | Other | NE | MEDICAL LICENSE |
| 8301A | Other | WY | MEDICAL LICENSE |
| 84127410413 | Other | NE | GROUP MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | 33634 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore Harry Stathos, MD 9224 Teddy Ln, Suite 220, Lone Tree, CO 80124-6798 Ph: (303) 790-1515 | Dr Theodore Harry Stathos, MD 9224 Teddy Lane, Suite 200, Lone Tree, CO 80124-6799 Ph: (303) 790-1515 |
Emily Jeanne Vangeti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Nancy Anne Taoka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Logan Gibson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10465 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-790-1515 | |
Robert A Kilpatrick, Pediatrics Medicare: Medicare Enrolled Practice Location: 10101 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 720-225-1000 Fax: 303-306-7753 | |
Dr. Matthew J Hadeed, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Dr. Ronald Dean Holmes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9224 Teddy Ln, #200, Lone Tree, CO 80124 Phone: 303-869-2121 Fax: 303-860-1597 |