ANDRAE LAVON VANDROSS (NPI# 1205079373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205079373 |
| Entity Type | Individual |
| Full Name | ANDRAE LAVON VANDROSS |
| Credential | M.D. |
| Practice Address |
12221 Renfert Way, Suite 120 and 300 Austin TX 78758 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 5128738900 |
| Practice Fax Number | 5128348676 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722342987 |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A131869 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
S4894 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 408933602 | 05 | |
| TX | 408903901 | 05 |
| Street Address |
12221 RENFERT WAY, SUITE 120 AND 300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124060256 | Laurence Kevin Tokaz | Internal Medicine | 4101 James Casey St Ste 100, Austin, TX 78745-3325 | 2006-06-12 |
| 1821069014 | Central Texas Medical Specialists Pllc | Internal Medicine | 9715 Burnet Rd, Bldg 7, Ste 200, Austin, TX 78758-5215 | 2006-01-27 |
| 1790760676 | George C Bobustuc | Internal Medicine | 2600 E Martin Luther King Jr Blvd, Austin, TX 78702-1449 | 2005-12-13 |
| 1780229047 | Kyaw Lwin Aung | Internal Medicine | 1601 Trinity St, Austin, TX 78712-1765 | 2019-11-11 |
| 1073000766 | Anna Capasso | Internal Medicine | 1601 Trinity St, Austin, TX 78712-1765 | 2018-04-18 |
| 1861803017 | Aneesha Hossain | Internal Medicine | 900 E 30th St Ste 100, Austin, TX 78705-3378 | 2014-05-09 |
| 1366781783 | Sinil Kim | Internal Medicine | 2150 Woodward St, Suite 100, Austin, TX 78744-1038 | 2013-02-05 |
| 1518125830 | Shahbaz A Malik | Internal Medicine | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2008-05-23 |
| 1174686364 | Aravind Ramakrishnan | Internal Medicine | 901 W Ben White Blvd, Austin, TX 78704-4433 | 2006-12-18 |
| 1043300726 | Sue Gail Eckhardt | Internal Medicine | 1601 Trinity St, Austin, TX 78712-1765 | 2006-10-13 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.