Dean Theophilopoulos, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

ME0075663 Issued in FL

Practice address

1700 S Tamiami TRL
Sarasota, FL 34239-3555

Phone

(941) 917-5525

Fax

(941) 917-1689

NPI assigned

May 25, 2006

Last updated

Feb 16, 2023By the provider in NPPES

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

Other identifiers 2

Other names 1

• Constantine Gerasimos Theophilopoulos Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ctheophilopoulos466754@ahs.direct-ci.com
• Direct secure messaging: dtheophilopoulos733645@direct.hopkinsmedicine.org

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1528014545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SPRING BLVD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893247",
            "telephone_number": "727-271-5650",
            "fax_number": "727-946-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393555",
            "telephone_number": "941-917-5525",
            "fax_number": "941-917-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOPHILOPOULOS",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "FL",
            "license": "ME0075663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER",
            "identifier": "43817",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254599300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANTINE",
            "last_name": "THEOPHILOPOULOS",
            "middle_name": "GERASIMOS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Shoreline Clinic, LLC
• The Weston Group of Florida Inc
• Theo L Meyer III ,CHTD Pediatrics (Meyer Pediatrics)
• Theo L Meyer III Pediatrics Chartered (Meyer Pediatrics)
• Theodore Simon DC PA (Simon Clinic of Chiropractic)
• Therafit LLC
• Therapeutic Collaborative, LLC
• Therapeutic Interventions and Consulting Services, Inc.
• Therapeutic Systems
• Therapy Associates of Sarasota

• Neonatal-Perinatal Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Neonatal-Perinatal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.