Chris G Theodoran, D.O.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

OS005449L Issued in PA

Practice address

2106 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644

Phone

(717) 393-1771

Fax

(717) 393-2782

NPI assigned

Nov 29, 2005

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 Osteopathy

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.

• Ephrata Community Hospital

  • Psychiatric Hospital Unit
  • Ephrata, PA
  • NPI 1215452354
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1770566382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176043200",
            "telephone_number": "717-393-1771",
            "fax_number": "717-393-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-393-1771",
            "fax_number": "717-393-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODORAN",
        "first_name": "CHRIS",
        "middle_name": "G",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "OS005449L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001090835/0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Rehab Center
• The S. June Smith Center
• The Silver Lining Art Therapy Studio LLC
• The Smile Care Group LTD
• The Urologic Surgical Center LLC
• Ther Milton S. Hershey Medical Center
• Therahealth LLC
• Therapypeople, Inc.
• Kristin Thiry, D.D.S., M.S.
• Adam Ryan Thode, M.D.

• Urology Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.