ANDREA KATHLEEN GOLDYN (NPI# 1902017874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902017874 |
| Entity Type | Individual |
| Full Name | ANDREA KATHLEEN GOLDYN |
| Credential | MD |
| Practice Address |
8402 Harcourt Rd Ste 300 Indianapolis IN 46260-2052 |
| Mailing Address |
10330 N Meridian St # 300 Indianapolis IN 46290-1024 |
| Practice Telephone | 3173383100 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 01067177A | IN | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
01067177A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CAQH ID | 12390155 | 01 |
| Street Address |
8402 HARCOURT RD STE 300 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749772 | Lanette C Brown-jones | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2005-12-01 |
| 1285241208 | Audrey Samuelson | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2020-09-24 |
| 1467077578 | Jori Danae Matushek | Nurse Practitioner | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2020-06-15 |
| 1508347907 | Caroline Emily Estes | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2018-08-23 |
| 1023461084 | Benjamin Commons | Nurse Practitioner | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2016-07-14 |
| 1417315029 | Afifa Elizabeth Irani | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2016-02-10 |
| 1396171674 | Lauren Bogue | Genetic Counselor, MS | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2013-09-19 |
| 1710220744 | Eric Kirtwei Chang | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2013-03-27 |
| 1750675518 | Jason L Buckner | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2011-06-08 |
| 1992864136 | Mona A Zawaideh | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265859292 | Anisha Gohil | Pediatrics | 705 Riley Hospital Dr, Ri 5960, Indianapolis, IN 46202-5109 | 2014-03-27 |
| 1790123248 | Anna Neyman | Pediatrics | 705 Riley Hospital Dr, Ri 5960, Indianapolis, IN 46202-5109 | 2013-06-06 |
| 1710220744 | Eric Kirtwei Chang | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2013-03-27 |
| 1205127255 | Jamie Lynn Felton | Pediatrics | 705 Riley Hospital Dr, Ri 5960, Indianapolis, IN 46202-5109 | 2011-04-26 |
| 1578705547 | Hebatullah Mahmoud Ismail | Pediatrics | 705 Riley Hospital Dr, Ri 5960, Indianapolis, IN 46202-5109 | 2009-04-06 |
| 1861650707 | Emily Kristen Sims | Pediatrics | 705 Riley Hospital Dr, Ri 5960, Indianapolis, IN 46202-5109 | 2008-05-28 |
| 1790972883 | Samar Rahhal | Pediatrics | 702 Barnhill Dr, Rm 5960, Indianapolis, IN 46202-5128 | 2007-10-02 |
| 1265650527 | Zeina M. Nabhan | Pediatrics | 705 Riley Hospital Dr, Ri 5960, Indianapolis, IN 46202-5109 | 2007-04-23 |
| 1992864136 | Mona A Zawaideh | Pediatrics | 8402 Harcourt Rd Ste 300, Indianapolis, IN 46260-2052 | 2006-12-06 |
| 1548344385 | Nerissa C Kreher | Pediatrics | 702 Barnhill Dr, Indianapolis, IN 46202-5128 | 2006-10-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.