Andrew J Mandery Md Llc in Kokomo - Clinic/center
Andrew J Mandery Md Llc - NPI 1922294115
Andrew J Mandery Md Llc is a Clinic/center in Kokomo, Indiana. Andrew J Mandery Md Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Andrew J Mandery Md Llc is 1922294115. The last update date is 2007-09-20.
Andrew J Mandery Md Llc's current location address is 1948 W Boulevard, Kokomo, Indiana. You can contact this provider via phone number 7652361290 and fax number 7652360420. The mailing address for Andrew J Mandery Md Llc is 1948 W Boulevard, Kokomo, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Andrew J Mandery Md Llc |
|---|---|
| Address | 1948 W Boulevard, Kokomo, Indiana |
| Phone Number | 7652361290 |
| Fax Number | 7652360420 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mandery Jay Andrew |
| Credentials | M.D. |
| Telephone Number | 7652361290 |
NPI Number Detail
| NPI Number | 1922294115 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2007-09-20 |
Provider Mailing Address Detail
| Address | 1948 W Boulevard |
|---|---|
| City | Kokomo |
| State | Indiana (IN) |
| Post Code | 469026078 |
| Phone Number | 7652361290 |
| Fax Number | 7652360420 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 148380 | MEDICARE PROVIDER NO. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Andrew J Mandery Md Llc?
The Andrew J Mandery Md Llc has been issued the NPI (National Provider Identifier) 1922294115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Andrew J Mandery Md Llc located?
The Andrew J Mandery Md Llc is located at 1948 W Boulevard, Kokomo, IN 469026078.
What is the Andrew J Mandery Md Llc's area of specialization and corresponding taxonomy classification?
The Andrew J Mandery Md Llc's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922294115 to Andrew J Mandery Md Llc?
The Centers for Medicare & Medicaid Services originally issued the 1922294115 to Andrew J Mandery Md Llc on 2007-09-20.
As of what date were the details related to Andrew J Mandery Md Llc most recently updated or revised?
The information pertaining to Andrew J Mandery Md Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-20.