Active NPI
Theodore a Calianos II MD PC
- Plastic Surgery Physician
- Mashpee, MA
National Provider Identifier
1790987386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 157231
- Legal business name
- THEODORE A CALIANOS II MD PC
- Practice address
- 5 Industrial Dr
Suite 109
Mashpee, MA 02649 - Phone
- (508) 539-6249
- Fax
- (508) 539-6223
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theodore Arthur Calianos II, MD
- Title
- Owner
- Phone
- (508) 539-6249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 157231 | MA | Primary |
Addresses
Primary practice location
5 Industrial Dr
Suite 109
Mashpee, MA 02649
Mailing address
5 Industrial Dr
Suite 109
Mashpee, MA 02649
Phone (508) 539-6249
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157231 | Other | MA | TUFTS |
| 1528021813 | Other | MA | NPI 1 |
| 21303 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 1300067 | Other | MA | UNITED HEALTH CARE |
| J19118 | Other | MA | BLUS CROSS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790987386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 INDUSTRIAL DR",
"address_2": "SUITE 109",
"city": "MASHPEE",
"state": "MA",
"postal_code": "02649",
"telephone_number": "508-539-6249",
"fax_number": "508-539-6223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 INDUSTRIAL DR",
"address_2": "SUITE 109",
"city": "MASHPEE",
"state": "MA",
"postal_code": "02649",
"telephone_number": "508-539-6249",
"fax_number": "508-539-6223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THEODORE A CALIANOS II MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CALIANOS",
"authorized_official_first_name": "THEODORE",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-539-6249",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "MA",
"license": "157231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "157231",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI 1",
"identifier": "1528021813",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "21303",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1300067",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUS CROSS",
"identifier": "J19118",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.