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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

THEODOSIOUS GEORGE TAVRIDES II STUDENT
NPI 1710882790
Student in an Organized Health Care Education/Training Program in Oshkosh, WI

Active since October 10, 2026
800 ALGOMA BLVD, OSHKOSH, WI 54901(920) 424-1234 Get Directions Write a Review

NPPES record added: October 10, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Theodosious George Tavrides Ii Student NPPES

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

THEODOSIOUS GEORGE TAVRIDES II STUDENT (NPI 1710882790) is an individual student in an organized health care education/training program in Oshkosh, Wisconsin and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1710882790
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHEODOSIOUS GEORGE TAVRIDES IICredential: STUDENT
Location Address800 ALGOMA BLVDOshkosh, WI 54901-3551
Mailing Address300 W Papermill Run Unit 209Kimberly, WI 54136-5507
Phone(920) 424-1234
Sole ProprietorNo
Enumeration DateOctober 10, 2026
NPPES CertifiedOctober 10, 2026
✔ NPI 1710882790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 ALGOMA BLVD, Oshkosh, WI 54901
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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.

MARIJO EVERS
Nurse Anesthetist, Certified Registered
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1234
MICAH GELANI JOHNSON
Student in an Organized Health Care Education/Training Program
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1234
NICOLE UELMEN
Student in an Organized Health Care Education/Training Program
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1077
MR. WADE CHRISTIAN PEITERSEN LAT
Specialist/Technologist (Athletic Trainer)
800 ALGOMA BLVD, KOLF SPORTS CENTER 169L
OSHKOSH, WI 54901
Winnebago County (920) 424-7138
JOHN J JOHNSEN LAT
Specialist/Technologist (Athletic Trainer)
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-3225
SAVANNAH FRANCIES
Registered Nurse
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1234
SHALYN DANIELLE TREPTOW
Nurse Anesthetist, Certified Registered
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1234
KITTIYA HEWITT
Registered Nurse
800 ALGOMA BLVD
OSHKOSH, WI 54901
Winnebago County (920) 424-1234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodosious Tavrides's NPI number?

The NPI number for Theodosious Tavrides is 1710882790. It was assigned to this individual provider in the NPPES registry on October 10, 2026.

Where is Theodosious Tavrides located?

Theodosious Tavrides practices at 800 Algoma Blvd, Oshkosh, WI 54901. The listed phone number is (920) 424-1234.

What is Theodosious Tavrides's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Theodosious Tavrides was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.