Active NPI 1215998059 Individual Practitioner Male Practitioner

Dr. Theodore Donald Close , MD

Pediatrics • Castleton, NY

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Close, MD is a registered healthcare professional specializing in Pediatrics in Castleton, NY. Practice services are available at 77 MILLER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

77 Miller Rd
Suite 1

Castleton, NY 12033

Telephone 5184778761

Fax 5184772251

Associated Practice Facility / Clinic

🏢 Pondview Pediatrics Llp Facility NPI 1669589792

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Castleton, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 24.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Castleton, NY (6127 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 138214

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00833803 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Marilyn Caramore , MD

Pediatrics

NPI 1285694620

Doctor of Medicine (M.D.)

Dr. Kristine Heck , MD

Pediatrics

NPI 1730149360

Doctor of Medicine (M.D.)

Dr. Krista Warfield , MD

Pediatrics

NPI 1902240617

Doctor of Medicine (M.D.)

Dr. Karen Kennette , MD

Pediatrics

NPI 1952365579

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 77 MILLER RD, SUITE 1, CASTLETON, NY 12033 (Tel: 5184778761)

📍

Updated Business Mailing Address July 08, 2007

Registered at 77 MILLER RD, SUITE 1, CASTLETON, NY 12033 (Tel: 5184778761)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE CLOSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #138214 in NY)

🟢

Initial NPI Registration & Enumeration March 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215998059

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 31, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

77 Miller Rd, Suite 1

Castleton, NY 12033

Phone: 5184778761

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.