DR. NICHOLAS STEPHEN ANDRADE (NPI# 1497919310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497919310 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS STEPHEN ANDRADE |
| Credential | M.D. |
| Practice Address |
700 Olympic Plaza Cir Ste 850 Tyler TX 75701-1955 |
| Practice Telephone | 9035908012 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2015-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Q5142 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326555343 | Nicholas S Andrade | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-12-29 |
| Street Address |
700 OLYMPIC PLAZA CIR STE 850 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619905502 | Thomas Alexander Jr Services | Radiologic Technologist | 700 Olympic Plaza Cir Ste 850, Southwestern Cerebral Circulatory Dynamics, Tyler, TX 75701-1955 | 2006-06-29 |
| 1336757228 | Amanda J Shipp | Nurse Practitioner | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2020-07-16 |
| 1316573751 | Eryn Ruth Hunter | Physician Assistant | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2020-03-17 |
| 1619442282 | Mayra Alejandra Avila Acord | Registered Nurse | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2018-10-09 |
| 1508376716 | Neuro Ir of East Texas | Radiology | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2017-10-03 |
| 1669672960 | Stephen Vincent Nalbach Jr. | Neurological Surgery | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295706471 | Sherri L Ten Pas | Neurological Surgery | 120 E Charnwood St, Suite B, Tyler, TX 75701-1708 | 2006-01-27 |
| 1770564320 | John Stuart Crutchfield | Neurological Surgery | 722 Clinic Dr, Tyler, TX 75701-2001 | 2005-11-10 |
| 1306194188 | Brent T Alford Md Pa | Neurological Surgery | 1356 Old Creek Dr, Tyler, TX 75703-7642 | 2012-08-27 |
| 1023276466 | James Alan Muns | Neurological Surgery | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2008-05-31 |
| 1831373042 | Andy Juney Redmond | Neurological Surgery | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2007-12-24 |
| 1669672960 | Stephen Vincent Nalbach Jr. | Neurological Surgery | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2007-07-24 |
| 1588773345 | Guy O Danielson IIi, M.d., P.a. | Neurological Surgery | 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234 | 2006-08-29 |
| 1801905674 | Guy O Danielson IIi | Neurological Surgery | 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4244 | 2006-08-29 |
| 1164535142 | Charles R Gordon | Neurological Surgery | 2737 S Broadway Ave, Tyler, TX 75701-5413 | 2006-08-16 |
| 1285747261 | James E Wortham | Neurological Surgery | 2737 S Broadway Ave, Tyler, TX 75701 | 2006-08-16 |
| Find all providers in TYLER | ||||
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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.