KEVIN R ANDREWS (NPI# 1174513873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174513873 |
| Entity Type | Individual |
| Full Name | KEVIN R ANDREWS |
| Credential | MD |
| Practice Address |
55 W Tietan St Walla Walla WA 99362-4445 |
| Practice Telephone | 5095253720 |
| Practice Fax Number | 5095221593 |
| Mailing Telephone | 5095253720 |
| Mailing Fax Number | 5095221593 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2015-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD25826 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DEA | BA2429884 | 01 |
| OR | NPI | 1174513873 | 01 |
| OR | 278110 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063638880 | Kevin Joseph Andrews | Dietitian, Registered | 5528 Red River Dr, San Diego, CA 92120-1430 | 2007-04-18 |
| 1174077697 | Kevin Andrews | Case Manager/Care Coordinator | 1520 Plaza St Nw, Ste. 100, Salem, OR 97304-4658 | 2016-08-12 |
| 1811388184 | Kevin Michael Andrews | Dentist | 4 Sunset Way, Building C, Henderson, NV 89014-2015 | 2015-02-09 |
| 1366771016 | Kevin Shaw Andrews | Chiropractor | 534 W Otterman St, Greensburg, PA 15601-2113 | 2009-12-09 |
| 1912128059 | Kevin Dale Andrews | Counselor | 1393 Bailey St, Hanford, CA 93230-5922 | 2007-05-02 |
| 1205826534 | Kevin Paul Andrews | Obstetrics & Gynecology | 71 U.S. Route One, Suite A, Elevation Center, Scarborough, ME 04074-9375 | 2005-10-27 |
| Street Address |
55 W TIETAN ST |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193747 | Karen Henderson | Pediatrics | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2005-06-08 |
| 1639776370 | Amanda Jo Stepper | Advanced Practice Midwife | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2020-10-06 |
| 1891346649 | David Andrew Forsyth | Registered Nurse | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2019-09-24 |
| 1104306695 | Gunnar Leighton James Sjoren | Physical Therapist | 55 W Tietan St, Walla Walla, WA 99362-4498 | 2018-08-15 |
| 1295235281 | Megan Renee Freismidl | Physician Assistant | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2018-02-15 |
| 1508388992 | Rosemary Welser | Social Worker | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2017-07-07 |
| 1093190886 | Diana Fitzgerald | Audiologist | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-07-22 |
| 1962885210 | Ronald Q. Ferranco | Nurse Practitioner | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-07-06 |
| 1083096440 | Rebekah Dickman | Pediatrics | 55 W Tietan St, Walla Walla, WA 99362 | 2015-06-22 |
| 1851787709 | Brent E Winterbottom | Physical Therapist | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922259738 | Providence Health & Services - Washington | Internal Medicine | 380 Chase Avenue, Pmg Se Wa, Walla Walla, WA 99362-2924 | 2008-10-10 |
| 1407893845 | David P Woolever Md | Internal Medicine | 1125 S 2nd Ave, Suite B, Walla Walla, WA 99362-4118 | 2006-06-02 |
| 1497732127 | Benjamin Rodriguez | Internal Medicine | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2005-12-22 |
| 1154307742 | Philip L Hooper | Internal Medicine | 55 West Tietan, Walla Walla, WA 99362 | 2005-12-16 |
| 1053396226 | Gerald B R Craigg | Internal Medicine | 1103b S 2nd Ave, Walla Walla, WA 99362-4118 | 2005-12-10 |
| 1982609533 | David P Woolever | Internal Medicine | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2005-06-20 |
| 1326569682 | Providence Health & Services - Washington | Internal Medicine | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2017-06-27 |
| 1053787747 | Im Locum LLC | Internal Medicine | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2015-08-17 |
| 1659756443 | Mohammed Omar Ahmed | Internal Medicine | 401 W Poplar St, Walla Walla, WA 99362 | 2015-07-22 |
| 1295149052 | Jacob Templin | Internal Medicine | 55 W Tietan St, Walla Walla, WA 99362-4498 | 2014-06-19 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.