GEORGE H. THEODORE, MD PC
NPI 1215925888
Orthopaedic Surgery - Foot and Ankle Surgery in Boston, MA

Active since October 07, 2005
175 CAMBRIDGE ST, 4TH FLOOR, BOSTON, MA 02114(617) 724-7009(617) 643-1006 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About George H. Theodore, Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE H. THEODORE, MD PC (NPI 1215925888) is a healthcare organization registered as a foot and ankle surgery in Boston, Massachusetts and active in the NPI registry since October 2005. The organization lists George H Theodore, Owner, as its authorized official.

NPPES Registry Identity

NPI1215925888
Entity TypeOrganization
Primary Taxonomy207XX0004X
Legal Business NameGEORGE H. THEODORE, MD PC
Location Address175 CAMBRIDGE ST, 4TH FLOORBoston, MA 02114-2743
Mailing Address175 Cambridge St, 4th FloorBoston, MA 02114-2743 · (617) 724-7009 · Fax (617) 643-1006
Fax(617) 643-1006
Organization SubpartNo
Authorized OfficialGeorge H TheodoreOwner · (617) 726-1344
Enumeration DateOctober 7, 2005
Last NPPES UpdateOctober 14, 2014
NPI 1215925888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License Licensed in MA · 150940
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.

175 CAMBRIDGE ST, Boston, MA 02114

Other Identifiers 6

Medicare ID-Type UnspecifiedM21329MA
OtherM18225MA · Bcbs Ma
Medicare UPING26707MA
Other173652MA · Hphc
Other727867MA · Tufts
Medicaid9730290MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Foot and Ankle Surgery)
175 CAMBRIDGE ST, 4TH FLOOR
BOSTON, MA 02114
Pediatrics (Pediatric Gastroenterology)
175 CAMBRIDGE ST, CRP 575
BOSTON, MA 02114
Physical Therapist (Sports)
175 CAMBRIDGE ST, SUITE 470
BOSTON, MA 02114
Optometrist
175 CAMBRIDGE ST
BOSTON, MA 02114
Physical Therapist (Sports)
175 CAMBRIDGE ST, 4TH FLOOR
BOSTON, MA 02114
Dentist (Periodontics)
175 CAMBRIDGE ST, SUITE 310
BOSTON, MA 02114
Optometrist
175 CAMBRIDGE ST
BOSTON, MA 02114
Nurse Practitioner (Family)
175 CAMBRIDGE ST, SUITE 400
BOSTON, MA 02114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215925888, enumerated as an "organization" on October 07, 2005.

The provider is located at 175 CAMBRIDGE ST 4TH FLOOR BOSTON, MA 02114 and the phone number is (617) 724-7009.

Orthopaedic Surgery with taxonomy code 207XX0004X and a focus in Foot and Ankle Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare,. Please consult your insurance carrier or call the provider to verify.