DR. ANDREA MICHELLE KANE (NPI# 1285804724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285804724 |
| Entity Type | Individual |
| Full Name | DR. ANDREA MICHELLE KANE |
| Credential | MD |
| Practice Address |
3024 E Empire St Bloomington IL 61704-5402 |
| Practice Telephone | 3095567337 |
| Mailing Telephone | 3095567337 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036.120210 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811221765 | Andrea Kane | Mechanotherapist | 132 B Ave, Coronado, CA 92118-1511 | 2009-09-24 |
| 1730488123 | Andrea Freeman Kane | Pediatrics | 101 W 8th Ave, Spokane, WA 99204 | 2011-03-24 |
| 1194824128 | Andrea Kane | Speech-Language Pathologist | 2705 Enloe St, Hudson, WI 54016-8173 | 2006-09-22 |
| Street Address |
3024 E EMPIRE ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922212638 | Rhoda Jean Gottfried | Psychiatry & Neurology | 3024 E Empire St, 2nd Floor Suite A, Bloomington, IL 61704-5402 | 2007-05-10 |
| 1538700851 | Cameron Troy Jackson Stengel | Physician Assistant | 3024 E Empire St, Bloomington, IL 61704-5402 | 2019-10-08 |
| 1497206551 | Jennifer Victoria Menendez | Physician Assistant | 3024 E Empire St, Bloomington, IL 61704-5402 | 2016-10-24 |
| 1578951075 | Desha Cobb | Nurse Practitioner | 3024 E Empire St, Bloomington, IL 61704-5402 | 2015-01-06 |
| 1770989220 | Jennifer Gibb | Nurse Practitioner | 3024 E Empire St, Bloomington, IL 61704 | 2014-11-11 |
| 1770828626 | Dermatology and Mohs Surgery Institute, Ltd. | Specialist | 3024 E Empire St, 2nd Floor, Suite F, Bloomington, IL 61704-5402 | 2012-12-04 |
| 1902131014 | David Milligan | Pediatrics | 3024 E Empire St, Bloomington, IL 61704-5402 | 2009-10-07 |
| 1083890156 | Aaron Reid Traeger | Pediatrics | 3024 E Empire St, Bloomington, IL 61704-5402 | 2008-01-18 |
| 1255523296 | Douglas Michael Leone | Dermatology | 3024 E Empire St, Ste E & F, Bloomington, IL 61704-5402 | 2007-08-14 |
| 1982800876 | Sasikala Royyuru | Family Medicine | 3024 E Empire St, Bloomington, IL 61704-5402 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1164792545 | Jerard Ruff | Pediatrics | 2736 S Silver Creek Dr, Bloomington, IN 47401-4584 | 2012-01-03 |
| 1619294360 | Tong Wooi Chng | Pediatrics | 55 W 96th St, 1e, Bloomington, MN 55420-4370 | 2010-04-21 |
| 1396844189 | Jean Marie Kolb | Pediatrics | 2427 Maloney Drive, Bloomington, IL 61704 | 2006-09-21 |
| 1174625867 | Sanjay Saxena | Pediatrics | 2427 Maloney Dr, Bloomington, IL 61704-3750 | 2006-09-02 |
| 1154379618 | John Stephen Schechter | Pediatrics | 719 W 1st St, Bloomington, IN 47403-2319 | 2006-05-05 |
| 1447222617 | Thomas J Marr | Pediatrics | 8170 33rd Ave S, Ms 21110x, Bloomington, MN 55425-4516 | 2006-02-02 |
| 1265430805 | Elda H Simpson | Pediatrics | 4935 W Arlington Rd, Bloomington, IN 47404-1187 | 2005-07-08 |
| 1427055458 | David C Esarey | Pediatrics | 350 S Landmark Ave, Bloomington, IN 47403-5001 | 2005-07-05 |
| 1881691814 | Richard K Malone | Pediatrics | 651 S Clarizz Blvd, Bloomington, IN 47401-5523 | 2005-07-05 |
| 1285636597 | Frank E Banfield | Pediatrics | 8600 Nicollet Ave S, Bloomington, MN 55420-2824 | 2005-06-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.