Andrew L De Jong (NPI# 1750328092, PAC ID# 5698736882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1750328092 |
| PAC ID by PECOS | 5698736882 |
| Professional Enrollment ID | I20050810000667 |
| Full Name | Andrew L De Jong |
| Organization Legal Name | TEXAS ENT AND ALLERGY ASSOCIATES, LLP |
| Address |
1730 Birmingham Dr College Station TX 77845-4063 |
| Phone Number | 9796936000 |
| Gender | M |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 0547299554 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450299 | COLLEGE STATION MEDICAL CENTER |
| 450011 | CHI ST JOSEPH HEALTH |
| 670004 | ST MARKS MEDICAL CENTER |
| 450187 | BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM |
| Address | Phone | Organization |
|---|---|---|
| 1730 Birmingham Dr, College Station, TX 77845-4063 | 9796936000 | TEXAS ENT AND ALLERGY ASSOCIATES, LLP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | TEXAS ENT AND ALLERGY ASSOCIATES, LLP |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald B Kuppersmith | Otolaryngology | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Kellous A Price | Otolaryngology | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Michael F Mcmahon | Otolaryngology | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Genna R Lechler | Nurse Practitioner | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Jennifer Marie Muehlebach | Qualified Audiologist | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Janet Joyce Wilson | Audiologist | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Street Address |
1730 BIRMINGHAM DR |
| City | COLLEGE STATION |
| State | TX |
| Zip | 77845-4063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald B Kuppersmith | Otolaryngology | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Kellous A Price | Otolaryngology | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Michael F Mcmahon | Otolaryngology | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Genna R Lechler | Nurse Practitioner | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Rohini Ragupathi | Internal Medicine | Regional Employee Assistance Program Inc | 1730 Birmingham Dr, Suite 100, College Station, TX 77845-4063 |
| Jennifer Marie Muehlebach | Qualified Audiologist | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Janet Joyce Wilson | Audiologist | Texas Ent and Allergy Associates, LLP | 1730 Birmingham Dr, College Station, TX 77845-4063 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Williams | General Surgery | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, Suite 1100, College Station, TX 77845-0001 |
| Joseph J Roman | Internal Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Conde N Anderson | Family Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Sidney C. Ontai | General Practice | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Arun K Jain | Internal Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Jill Linsey Holcomb | Nurse Practitioner | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Sandra Md Nweke | Family Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Catherine Manga | Nurse Practitioner | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Jasvinder S Sidhu | Cardiovascular Disease (cardiology) | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Aderemi Jaiyeola | Gastroenterology | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Find all physicians in zip 77845 | |||
| City | COLLEGE STATION |
| Zip Code | 77845 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | COLLEGE STATION + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Andrew L De Jong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.