National Provider Identifier Database

THEODORE H STATHOS, MD – NPI #1144265315
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

THEODORE H STATHOS, MD
9224 TEDDY LANE
SUITE 200
LONE TREE, CO80124-6799
Phone: 303-790-1515
Fax: 303-790-1989
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for THEODORE H STATHOS

NPI Number 1144265315
Credentials MD
Entity Individual
Enumeration date 06/19/2006
Last updated 09/28/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • CO License #: 33634
  • CO Medicaid: 01336346
  • OK Medicaid: 200295450 A
  • WY Medicaid: 1144265315
  • Other: 1699895755 GROUP NPI
  • CO Other: 04018362 GROUP MEDICAID
  • CO Other: 33634 MEDICAL LICENSE
  • NE Other: 84127410413 GROUP MEDICAID
  • NE Other: 18498 MEDICAL LICENSE
  • OK Other: 200293420 A GROUP MEDICAID
  • WY Other: 109864100 GROUP MEDICAID
  • WY Other: 8301A MEDICAL LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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