Theodore Yaremo MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

THEODORE YAREMO MD PA

Practice address

1107 W Marion Ave
Sutie 118
Punta Gorda, FL 33950-5372

Phone

(941) 637-6062

Fax

(941) 575-4449

NPI assigned

Oct 28, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Theodore W Yaremo, M.D., P.A.NPI 1780674838

Title

Owner

Phone

(941) 637-6062

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Theodore W Yaremo, M.D., P.A.

  • Gastroenterology Physician
  • Punta Gorda, FL
  • NPI 1780674838
  Medicare reassignment NPD Authorized official
• Jeanne M. Hopple, PHD, ANP-BC, FNP-C

  • Family Nurse Practitioner
  • Crockett, TX
  • NPI 1649219809
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528058682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W MARION AVE",
            "address_2": "SUTIE 118",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505372",
            "telephone_number": "941-637-6062",
            "fax_number": "941-575-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W MARION AVE",
            "address_2": "SUTIE 118",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505372",
            "telephone_number": "941-637-6062",
            "fax_number": "941-575-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE YAREMO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YAREMO",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-637-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74616",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Victoria Taylor, L.M.H.C.
• Jerika Taylor, PHARMD
• Khaled Temraz, PT
• The Four Seasons Alf Community Inc
• The Nest Physical Therapy and Wellness
• Therapeutic Wellness Center
• Therapy One CR
• Thomas Noone MD PA
• Justin Garland Thomas, D.O.
• Jo Ann Thompson, P.A.

• Gastroenterology Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.