DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: THEO JAMES LERIOTIS D.O.

MEDICARE: THEO JAMES LERIOTIS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician25MB10112300NJ
2207P00000XEmergency Medicine PhysicianOS018913PA

General Provider Information

NPI Number : 1982043378
Entity Type Code : Individual
Provider Name (Legal Business Name) : THEO JAMES LERIOTIS D.O.
Provider Business Mailing Address
First Line : 100 E LANCASTER AVE
Second Line :
City : WYNNEWOOD
State : PA
Zip : 19096-3450
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 E LANCASTER AVE
Second Line :
City : WYNNEWOOD
State : PA
Zip : 19096-3450
Country : US
Telephone Number : 484-476-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2013
Last Update Date : 06/03/2026

Similar Medicare Providers

1306715669 — LILLIAN PATRICE RODGERS PA-C
Practice Location Address:
100 E LANCASTER AVE STE 280
WYNNEWOOD, PA
19096-3450
Practice Phone: 610-642-3005
Practice Fax: 610-642-3057
1194656751 — DR. MARISSA SAMUELS MD
Practice Location Address:
100 E LANCASTER AVE
WYNNEWOOD, PA
19096-3450
Practice Phone: 610-645-6555
Practice Fax:
1609674761 — KENNEDY GALLAGHER
Practice Location Address:
100 E LANCASTER AVE
WYNNEWOOD, PA
19096-3450
Practice Phone: 484-476-3913
Practice Fax:
1134086531 — CULLEN LEEANN KISNER MD
Practice Location Address:
100 E LANCASTER AVE
WYNNEWOOD, PA
19096-3450
Practice Phone: 484-476-2000
Practice Fax:
1972253185 — LEAH FENDRICK MD
Practice Location Address:
100 E LANCASTER AVE
WYNNEWOOD, PA
19096-3450
Practice Phone: 484-476-2000
Practice Fax:
1154254902 — DR. CAROLINE PLUCINSKY DO
Practice Location Address:
100 E LANCASTER AVE
WYNNEWOOD, PA
19096-3450
Practice Phone: 484-476-2658
Practice Fax:

Directions to “ THEO JAMES LERIOTIS D.O.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.