Individual provider Active NPI

Theodore K Paraschos, MD

  • Emergency Medicine Physician
  • Charleston, SC
National Provider Identifier
1376584094
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
24075 Issued in SC
Practice address
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone
(843) 402-1037
Fax
(843) 402-1295
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 24075 SC Primary

Addresses

Primary practice location

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Mailing address

PO Box 602645
Charlotte, NC 28260-2645
Phone (843) 789-1620

Other identifiers 1

IdentifierTypeStateIssuer
240750MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, VA, DC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080502000108 SC Practitioner - Emergency Medicine 0042203754 Reassigns benefits to 5 organizations
I20251216000066 GA Practitioner - Emergency Medicine 0042203754 Reassigns benefits to 1 organization
I20260521002645 VA Practitioner - Emergency Medicine 0042203754 Reassigns benefits to 1 organization
I20260526002553 DC Practitioner - Emergency Medicine 0042203754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Sep 8, 2020 Accepting new patients
Monogram Health Professional Services PC CurrentSince Oct 29, 2025 Accepting new patients
Monogram Health Professional Services PC CurrentSince Aug 14, 2025 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Roper Hospital Inc Emergency Medicine Current Accepting new patients
Broad River Physicians Group, LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Roper Hospital Inc Emergency Medicine CurrentSince Sep 8, 2020 Accepting new patients
Roper Hospital Inc. CurrentSince Sep 8, 2020 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Emergency Medicine CurrentSince Sep 8, 2020 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Sycamore Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Roper Hospital, Inc. Past Accepting new patients

Locations

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

128 Millport Cir
Ste 200
Greenville, SC 29607
Phone (240) 877-9865

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

570 Long Point Rd
Ste 150
Mt Pleasant, SC 29464
Phone (843) 480-2273

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

Interoperability endpoints

  • Direct secure messaging: ms_tparasch@landmarkhealth-direct.org
  • Direct secure messaging: theodore.paraschos.1@22854.direct.athenahealth.com
  • Direct secure messaging: ms_tparasc1@landmarkhealth-direct.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1376584094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602645",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602645",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145733",
            "telephone_number": "843-402-1037",
            "fax_number": "843-402-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARASCHOS",
        "first_name": "THEODORE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "24075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240750",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.