Individual
DR. THEODORE HARRY STATHOS
Active
Individual
DR. THEODORE HARRY STATHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
33634
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01336346
—
CO
01
—
04018362
GROUP MEDICAID
CO
01
—
109864100
GROUP MEDICAID
WY
05
—
1144265315
—
WY
01
—
1699895755
GROUP NPI
—
01
—
18498
MEDICAL LICENSE
NE
01
—
200293420 A
GROUP MEDICAID
OK
05
—
200295450 A
—
OK
01
—
33634
MEDICAL LICENSE
CO
01
—
8301A
MEDICAL LICENSE
WY
01
—
84127410413
GROUP MEDICAID
NE
Enumeration date
06/19/2006
Last updated
09/28/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up