Theodore K Gregorius MD Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

THEODORE K GREGORIUS MD INC

Practice address

360 San Miguel Dr., Ste. 701
Newport Beach, CA 92660

Phone

(949) 759-3600

Fax

(949) 759-9265

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Theodore K Gregorius, M.D.NPI 1013950450

Title

President

Phone

(949) 759-3600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore K. Gregorius, M.D.

  • Orthopaedic Surgery Physician
  • Newport Beach, CA
  • NPI 1013950450
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1265922397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR., STE. 701",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-759-3600",
            "fax_number": "949-759-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR., STE. 701",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-759-3600",
            "fax_number": "949-759-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE K GREGORIUS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "GREGORIUS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-759-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Paved Road
• The Ritz Health Center
• The Sonos Group
• The Surgery Center of Newport Coast, LLC
• Abinaya Thenappan, MD
• Nader Theodory, PT
• Therapoint Treatment Centers, LLC
• Therapy Travelers LLC
• Hilary Thibault, PTA
• Thomas B. Viehe, M.D., a Professional Corporation

• Orthopaedic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.