Charles S. Theofilos MD PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

XXXXXXXXXXXXXXXX Issued in FL

Legal business name

CHARLES S. THEOFILOS MD PA

Doing business as

The Spine Center

Practice address

300 Village Square Xing Ste 202
Palm Beach Gardens, FL 33410-3223

Phone

(561) 630-3870

Fax

(561) 630-3680

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Charles S TheofilosNPI 1861444846

Title

Physician Owner

Phone

(561) 630-3870

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Spine Center Doing business as

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles S Theofilos, M.D. P.A.

  • Neurological Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1861444846
  Authorized official Same address or phone
• Lawrence M Aronowitz, PA

  • Medical Physician Assistant
  • North Palm Beach, FL
  • NPI 1457550790
  NPD (past)
• Michael J Chaparro, MD

  • Neurological Surgery Physician
  • Loxahatchee, FL
  • NPI 1134114432
  NPD (past)
• Francine Gilbert, ARNP

  • Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1962565481
  NPD (past)
• Michael G Hill, M.D.

  • Specialist
  • Leesburg, FL
  • NPI 1083680391
  NPD (past)
• Seyed M Emadian, MD PH D

  • Neurological Surgery Physician
  • Dalton, GA
  • NPI 1679510705
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1841242823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VILLAGE SQUARE XING STE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103223",
            "telephone_number": "561-630-3870",
            "fax_number": "561-630-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VILLAGE SQUARE XING STE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103223",
            "telephone_number": "561-630-3870",
            "fax_number": "561-630-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES S. THEOFILOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "THEOFILOS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "561-630-3870"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "XXXXXXXXXXXXXXXX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE NUMBE",
            "identifier": "23144",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373280100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashaunda Amanda Chapman, BA
• Geoffrey Alan Chappell, P.T.
• Charles E Ahner M D P a
• Charles H Etheredge DMD PA (Restassured Sleep Centers)
• Charles S Theofilos MD
• Makepeace B Charles, D.D.S.
• Peterson Charles
• Edwiana Charlot
• Chaiyapat Charoonbara, MD
• Chase Dental Sleepcare of Palm Beach Gardens

• Neurological Surgery Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.