ROGER THEODORE M.D.
NPI 1306841614
Physical Medicine & Rehabilitation - Pain Medicine in Towson, MD
- Individual
- Male
- Physical Medicine & Rehabilitation
- Pain Medicine
- PECOS Enrolled
About ROGER THEODORE
This page provides the complete NPI Profile along with additional information for Roger Theodore, a provider established in Towson, Maryland with a medical specialization in Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1306841614 assigned on June 2005. The practitioner's primary taxonomy code is 2081P2900X with license number D0014165 (MD). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1306841614 Verify this NPI
- Provider Name
- ROGER THEODORE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1001 CROMWELL BRIDGE RD SUITE 200 TOWSON, MD 21286
- Location Phone
- (410) 821-7775
- Location Fax
- (410) 821-1320
- Mailing Address
- 1001 CROMWELL BRIDGE RD SUITE 200 TOWSON, MD 21286
- Mailing Phone
- (410) 821-7775
- Mailing Fax
- (410) 821-1320
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-15-2005
- Last Update Date
- 11-28-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0014165
- License State
- MD
- Taxonomy Description
- A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Medicare Participation & PECOS Enrollment Status
Roger Theodore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BALTIMORE, MD 21286
TOWSON, MD 21286
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306841614, enumerated as an "individual" on June 15, 2005.
The provider is located at 1001 CROMWELL BRIDGE RD SUITE 200 TOWSON, MD 21286 and the phone number is (410) 821-7775.
Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.