PAUL B ANDELIN MD PC (NPI# 1619149838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619149838 |
| Entity Type | Organization |
| Organization Name | PAUL B ANDELIN MD PC |
| Practice Address |
1937 W Cardinal Ln Aurora MO 65605-1977 |
| Practice Telephone | 4176784022 |
| Practice Fax Number | 4176784028 |
| Mailing Telephone | 4176784022 |
| Mailing Fax Number | 4176784028 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | DR. PAUL B ANDELIN (PRESIDENT) |
| Authorized Official Telephone | 4176784022 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | R3M76 | MO | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | R3M76 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1937 W CARDINAL LN |
| City | AURORA |
| State | MO |
| Zip Code | 65605-1977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1134609712 | Regional Services | Nurse Practitioner | 305 W Prospect St, Aurora, MO 65605 | 2018-08-14 |
| 1932545977 | Ozark Tri-county Health Care Consortium | Clinic/Center | 1810 South Carnation Dr., Aurora, MO 65605 | 2013-05-17 |
| 1376884353 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 729 Highland Street, Aurora, MO 65605 | 2013-03-15 |
| 1518241587 | Holly Lynn Wade | Counselor | 1119 S Elliot, Aurora, MO 65605 | 2011-10-07 |
| 1760785265 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 721 E Highland Street, Aurora, MO 65605 | 2010-12-06 |
| 1740488147 | Marilyn Ruth Wachner | Social Worker | 1604 1 2 S Elliott, Aurora, MO 65605 | 2007-07-06 |
| 1942372248 | Patricia Ann Clark | Counselor | 112 S. Madison, Aurora, MO 65605 | 2006-11-14 |
| 1003994732 | Darren Gene Cook | Counselor | Lifecare Family Services, 112 S. Madison, Aurora, MO 65605 | 2006-11-01 |
| 1295878981 | Mercy Hospital Aurora | General Acute Care Hospital | 500 Porter Ave, Aurora, MO 65605 | 2007-02-14 |
| Find all providers in zip 65605 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968505 | Dynamic Health Center, LLC | General Practice | 2993 S Peoria St Ste 270, Aurora, CO 80014-5710 | 2017-08-18 |
| 1407007461 | Larisa Y Ravdel | General Practice | 1421 S Potomac St Ste 320, Aurora, CO 80012-4512 | 2008-10-08 |
| 1710142641 | Mark David Mclean | General Practice | 3292 Peoria St., Aurora, CO 80010-1517 | 2008-07-21 |
| 1275754590 | Chesley Lamb | General Practice | 2550 S. Parker Rd., Suite 400, Aurora, CO 80014 | 2007-05-02 |
| 1669509675 | Melissa A Rasmussen | General Practice | 2400 South Havana St, Aurora, CO 80214 | 2007-02-27 |
| 1184786980 | Yin Woo | General Practice | 1577 Havana St, Aurora, CO 80010-2325 | 2006-12-15 |
| 1588669626 | Evan Jay Pollack | General Practice | 13701 E Mississippi Ave, Aurora, CO 80012-6141 | 2005-06-16 |
| 1811502990 | Poudre Valley Medical Group, LLC | General Practice | 2450 S Peoria St Ste 245, Aurora, CO 80014-5475 | 2020-09-15 |
| 1780171751 | Tiffany Iris Hsiao | General Practice | 12631 E 17th Ave Ofc 1, Aurora, CO 80045 | 2018-04-16 |
| 1679969331 | Mark Joseph Kissler | General Practice | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2015-04-09 |
| Find all providers in AURORA | ||||
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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.