Dr. Michael Hercules Theodoulou is a Somerville, Massachusetts based male podiatrist with 35 years of experience in Podiatry. He completed his graduation in 1989. He is also affiliated with hospitals like Cambridge Health Alliance. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Michael Hercules Theodoulou for Podiatry is 2358 in Massachusetts. Dr. Michael Hercules Theodoulou is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Michael Hercules Theodoulou speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6800849779
Enrollment ID:
I20100310000052
NPI Number:
1760430755
NPI Enumeration Date:
04 May, 2006
NPI Last Update On:
08 Dec, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Hercules Theodoulou are as mentioned below.
License Number
Specialization
State
Status
2358
Podiatry
Massachusetts
Primary
PO558
Podiatry
District Of Columbia
Secondary
01073
Podiatry
Maryland
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Cambridge Health Alliance (220011)
Cambridge, MA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Michael Hercules Theodoulou is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Cambridge Public Health Commission (8921910894)
527
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Michael Hercules Theodoulou such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
110084502A
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
230 Highland Ave, Somerville, Massachusetts
Zip:
02143-1408
Phone Number:
617-665-1000
Fax Number:
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Patients can reach Dr. Michael Hercules Theodoulou at 230 Highland Ave, Somerville, Massachusetts or can call to book an appointment on 617-665-1000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.