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Provider Profile

Mark Theodore, FNP-BC

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At a glance

About Mark Theodore

Mark Theodore, FNP-BC is a nurse practitioner — family practicing in Utica, NY. This provider record is associated with NPI 1457793135.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

NY licenceAs reported to the NPI registry
No. 338083As reported
NY licenceAs reported to the NPI registry
No. 629932As reported
NPINational Provider Identifier
1457793135Issued 2013

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Mark Theodore's specialty?

Mark Theodore is a nurse practitioner in Utica, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where can I find Mark Theodore?

Mark Theodore is listed at 1656 Champlin Ave, Utica, NY 13502. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Mark Theodore?

The number on file is (315) 624-6000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Mark Theodore?

Mark Theodore's National Provider Identifier is 1457793135. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Mark Theodore have?

Mark Theodore has 13+ years experience. Registered with an NPI since 2013. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Mark Theodore's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Mark Theodore. If this is you, claiming it is free.

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