Dr. Theodore Raymond Pacheco
Internist - Cardiovascular Disease
3600 Kolbe Rd Suite 127
Lorain
, Ohio 44053-1654
Dr. Theodore Raymond Pacheco
Internist - Cardiovascular Disease
3600 Kolbe Rd Suite 127
Lorain
, Ohio 44053-1654
(216) 201-5582
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Theodore Raymond Pacheco
- 3600 Kolbe Rd Suite 127
- Lorain, OH
- Zip : 44053-1654
- Fax : (216) 201-5582
- Phone : (440) 414-9200
Second Address
- Dr. Theodore Raymond Pacheco
- 3600 Kolbe Rd Suite 127
- Lorain, OH
- Zip : 44053-1654
- Fax : (216) 201-5582
- Phone : (440) 414-9200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 35065306 | OH |
National Provider Identifier
| NPI | 1023097201 |
|---|---|
| Provider Name | Dr. Theodore Raymond Pacheco |
| First Address | Lorain, OH 44053-1654 |
| Second Address | Lorain, OH 44053-1654 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2006 |
| Last Update Date | 07/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000128727 | ANTHEM (01) | OH |
| 060023253 | RAILROAD MEDICARE (01) | |
| 0972863 | (05) | OH |
| 100399 | KAISER (01) | OH |
| 341221800068 | CARESOURCE (01) | OH |
| 9288884 | (02) | OH |
| E65306 | SUMMACARE (01) | OH |
| F79540 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.