DR. EDWARD H ANDRES III


Address: 802 N. Riverside Rd., Suite G 50, Saint Joseph, MO 64507-2553
Phone: 8166714888

DR. EDWARD H ANDRES III (NPI# 1639102460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639102460
Entity Type Individual
Full Name DR. EDWARD H ANDRES III
Credential M.D.
Practice Address 802 N. Riverside Rd.
Suite G 50
Saint Joseph
MO 64507-2553
Practice Telephone 8166714888
Practice Fax Number 8166714890
Mailing Telephone 8166714888
Mailing Fax Number 8166714890
Enumeration Date 2006-07-07
Last Update Date 2011-02-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery R4278 MO Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
R4278 MO Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
R4278 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO COMMUNITY HEALTH PLAN 10001262101 01
MO 200374411 05
MO RR MEDICARE P00193414 01
KS 100130870B 05

Office Location

Street Address 802 N. RIVERSIDE RD.,
SUITE G 50
City SAINT JOSEPH
State MO
Zip Code 64507-2553

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346644044 Janaha Anderson Dental Hygienist 4073 Se Cunningham Rd, St. Joseph, MO 64507 2014-10-09
1518229772 Andrew L Walker Radiology 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 2012-06-13
1619105731 Pamela M. Lotz Clinical Nurse Specialist 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 2009-06-26
1356300735 St Joseph Oncology Inc Internal Medicine 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 2006-03-22
1962478560 Douglas Chyatte Neurological Surgery 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 2006-02-24
1073089546 Chaz Caleb Johnson Physical Therapist 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 2018-10-22
1295228344 Julie Odonnell Phd LLC Clinic/Center 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 2018-06-13
1912369695 Luke Nathan Prest Pediatrics 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 2016-03-22
1396007894 Brian Wright Roe Internal Medicine 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 2012-06-11
1861873952 Edison Derr II Specialist/Technologist 2214 Maple St, Saint Joseph, MO 64507-1413 2015-06-15
Find all providers in zip 64507

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558651547 Gillian Leray Jones Surgery 901 Heartland Rd Ste 1810, Saint Joseph, MO 64506-6201 2011-04-12
1790949097 Marcus Kyle Free Surgery 2143 Derfla Dr, Saint Joseph, MI 49085-9661 2008-07-16
1639103583 Scott Alan Wade Surgery 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 2006-07-10
1629007208 George Dale Mulder Surgery 802 N Riverside Rd., Ste G50, Saint Joseph, MO 64507-2553 2006-07-03
1700854023 Kenneth W Shewell Surgery 4229 Frederick Ave Ste A, Saint Joseph, MO 64506-3159 2006-03-11
1992797963 Phillip M Hornbostel Surgery 802 N Riverside Rd Ste 220, Saint Joseph, MO 64507-2509 2005-08-16
1073879011 Khang Duc Le Surgery 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 2012-04-04
1245544576 Omar Melhem Ghanem Surgery 802 N Riverside Rd Ste G50, Saint Joseph, MO 64507-2510 2010-07-28
1578884441 Michael L Webb Surgery 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 2010-06-15
1952539660 Mychi Han Le Surgery 5204 N Belt Hwy, Saint Joseph, MO 64506-1211 2009-07-01
Find all providers in SAINT JOSEPH

Competitor

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City SAINT JOSEPH
Zip Code 64507

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Dataset Information

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.

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