Dr. David A Theodoro, MD
Dr. David A Theodoro, MD is a Thoracic Surgery in Bridgeton, Missouri. Graduated from Washington University School of Medicine in 1988, 38 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Missouri and Mississippi.
- Years since qualifying
- 38
- Trained at
- Washington University School of Medicine
- Licensed in
- IL, MO, MS
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
12255 De Paul Dr N Bldg Ste 260Bridgeton, MO 63044
Phone: (314) 647-8269
Fax: (314) 646-1700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 970 Lakeland Dr Ste 61, Jackson, MS 39216-4634 — (601) 200-2780
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X · Licence 28104 (MS) |
|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Taxonomy 208G00000X · Licence 118293 (MO) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Taxonomy 208G00000X · Licence 036095641 (IL) |
Record details
| NPI number | 1073518577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 20, 2005 |
| Last updated in NPPES | August 27, 2020 |
| Certification date | August 27, 2020 |
| Mailing address | Po Box 23666, Jackson, MS 39225-3666 |
Medicare enrollment
| Medicare specialty | THORACIC SURGERY |
|---|---|
| Medical school | WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1988 (38 years in practice) |
| Group practice | St. Dominic Medical Associates Llc — 127 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Bridgeton
-
Dr. Peter Fonseca, MD
12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 · (314) 647-8269
-
SSM Cardiovascular and Thoracic Services, Inc
12255 De Paul Dr Ste 445, Bridgeton, MO 63044-2510 · (314) 647-8269