| Dr Gregory G Theodore, MD | |
| 
					361 Alexander Spring Rd, Carlisle, PA 17015-6940  | |
| (717) 249-1212 | |
| Not Available | 
| Full Name | Dr Gregory G Theodore | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 361 Alexander Spring Rd, Carlisle, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184703886 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | H7839 (Texas) | Primary | 
| Entity Name | Pennsylvania Department Of Human Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295718039 PECOS PAC ID: 0547168064 Enrollment ID: O20040604000167  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Gregory G Theodore, MD Po Box 947, Chambersburg, PA 17201-0947 Ph: (717) 263-5562  | Dr Gregory G Theodore, MD 361 Alexander Spring Rd, Carlisle, PA 17015-6940 Ph: (717) 249-1212  | 
Jarrod H Gipe, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 361 Alexander Spring Road, Carlisle, PA 17015 Phone: 717-960-1685 Fax: 717-960-3375  | |
Julio Sola, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 31 Sprint Dr, Carlisle, PA 17013 Phone: 717-532-7860 Fax: 717-218-8702  | |
Howard Alster, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 31 Sprint Dr, Carlisle, PA 17013 Phone: 717-532-7860 Fax: 717-218-8702  | |
Dr. Faisal A Siddiqui, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 361 Alexander Spring Rd, Carlisle, PA 17015 Phone: 717-960-1685 Fax: 717-960-3397  |