Mark Theodore, FNP-BC
NPI 1457793135 · Family Nurse Practitioner · Utica, NY
Mark Theodore, FNP-BC is a Family Nurse Practitioner provider in Utica, NY (NPI 1457793135).
Provider details
- NPI number
- 1457793135
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 629932 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-07-23
- Last updated
- 2013-07-23
Frequently asked questions
- What is Mark Theodore's NPI number?
- Mark Theodore's National Provider Identifier (NPI) is 1457793135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Theodore's specialty?
- Mark Theodore is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mark Theodore located?
- Mark Theodore's practice location on file with NPPES is 1656 Champlin Ave, Utica, NY 13502-4830.
- What is Mark Theodore's phone number?
- The practice phone number listed in the NPPES registry for Mark Theodore is (315) 624-6000.
- Is Mark Theodore's NPI active?
- Yes — Mark Theodore's NPI (1457793135) is active in the NPPES registry as of the last update on 2013-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.