Spero John Theodorou, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

228653 Issued in NY

Practice address

128 Central Park S
New York, NY 10019-1565

Phone

(212) 265-2724

NPI assigned

Feb 2, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Coast Wound Care, P.C.

  • Specialist
  • Yonkers, NY
  • NPI 1346554524
  NPD (past) Authorized official
• Colorado Wound Care, Inc.

  • Specialist
  • Aspen, CO
  • NPI 1346581022
  NPD (past) Authorized official
• Oklahoma Wound Care, P.C.

  • Plastic Surgery Physician
  • Tulsa, OK
  • NPI 1265871800
  NPD (past) Authorized official
• Waterview Nursing Care Center, Inc.

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1811072929
  NPD (past)
• West Coast Wound Care Inc

  • Specialist
  • Yonkers, NY
  • NPI 1255645438
  NPD (past)
• Robert Krotenberg, M.D., LLC

  • Physical Medicine & Rehabilitation Physician
  • Holmdel, NJ
  • NPI 1982749719
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1669444972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 MCLEAN AVE",
            "address_2": "# 387",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044107",
            "telephone_number": "914-237-6797",
            "fax_number": "208-279-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CENTRAL PARK S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191565",
            "telephone_number": "212-265-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOROU",
        "first_name": "SPERO",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "228653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063771",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Theodore, LMSW
• Sathya Theodore, M.D.
• Anna Theodoridis, NP
• Kleanthis Theodoropoulos, M.D. , PHD
• Theodorou Plastic Surgery, PC
• Eugenia Theodosopoulos
• Sophia Theoklitos, PA-C
• Teresa Theophano, LCSW
• Parisa Thepmankorn
• Thera Care

• Plastic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.