Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Theodros Mariam, PA

Individual provider Medical Physician Assistant · NPI 1679743330

Mr. Theodros Mariam, PA is a Physician Assistant in Norristown, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Avenues Recovery Medical Center at Valley Forge, a 22-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
19
Licensed in
PA
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1033 W Germantown Pike Valley Forge Medical Center & Hospital
Norristown, PA 19403-3905
Phone: (610) 539-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA053056 (PA)

Record details

NPI number1679743330
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 9, 2008
Last updated in NPPESFebruary 3, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Avenues Recovery Medical Center At Valley Forge — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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