Theodore John Cieslak, M.D.

Primary specialty

Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X

License

MD-035017-E Issued in PA

Practice address

3851 Roger Brooke Dr
Dept of Pediatrics
Fort Sam Houston, TX 78234-4501

Phone

(210) 916-0707

Fax

(210) 916-1740

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174513212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 HUNTERS CLIFFS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302054",
            "telephone_number": "210-916-0707",
            "fax_number": "210-916-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "address_2": "DEPT OF PEDIATRICS",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-0707",
            "fax_number": "210-916-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESLAK",
        "first_name": "THEODORE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "PA",
            "license": "MD-035017-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harmony Sung-Shih Choi, PT, DPT, OCS
• Kyu Jin Choi, D.M.D
• Aaron Willis Christensen, MD
• Yun Chung
• Adam Church, DSC, PA-C
• Ricardo Cisneros, CPHT
• Caroline Claassen, OTR/L
• Claudette Vivienne Clark, MSN,RN,CPNP,IBCLC
• Bradley Cole Clarkson, PHARMD
• Beverly Dale Clay

• Pediatric Infectious Diseases Physician in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Pediatric Infectious Diseases Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.