DR. ANDREW D TA (NPI# 1356367338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356367338 |
| Entity Type | Individual |
| Full Name | DR. ANDREW D TA |
| Credential | DO |
| Practice Address |
181 S. Lincolnway North Aurora IL 60542 |
| Practice Telephone | 6309069470 |
| Practice Fax Number | 6309069467 |
| Mailing Telephone | 6309069470 |
| Mailing Fax Number | 6309069467 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
3082 | OK | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 619804 | 01 | |
| BCBS | 4522088 | 01 | |
| IL | MEDICARE ID | CN8768 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891177895 | Andrew Minh Ta | Optometrist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2015-06-25 |
| 1730108473 | Andrew Khanh Ta | Emergency Medicine | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-07-19 |
| Street Address |
181 S. LINCOLNWAY |
| City | NORTH AURORA |
| State | IL |
| Zip Code | 60542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285289678 | Balaji LLC | Dentist | 483 Randall Crossing Lane, North Aurora, IL 60542 | 2019-08-03 |
| 1528521283 | Robin Ann Blondin | Speech-Language Pathologist | Fearn Elementary School, 1600 Hawksley Lane, North Aurora, IL 60542 | 2019-04-10 |
| 1942766894 | Taking Control | Community/Behavioral Health | 106f South Lincolnway, North Aurora, IL 60542 | 2019-02-15 |
| 1104399682 | Taking Control Professional Corporation | Counselor | 106 South Lincolnway, Suite A, North Aurora, IL 60542 | 2019-01-07 |
| 1225565575 | Sarah A Fillmore | Social Worker | 106 S. Lincolnway St, North Aurora, IL 60542 | 2017-05-17 |
| 1437607892 | Seyedamir Danesh Sani | Dentist | 582 Chesterfield Lane, North Aurora, IL 60542 | 2016-09-14 |
| 1053664151 | Breeze Counseling, Ltd | Counselor | 427 Mallard Point Dr, North Aurora, IL 60542 | 2012-10-26 |
| 1174778104 | 311 Lincolnway Properties | Assisted Living Facility | 311 South Lincolnway, North Aurora, IL 60542 | 2008-11-18 |
| 1346421468 | Bernard Stanley Smaizys | Dentist | 111 Oak Street, North Aurora, IL 60542 | 2007-11-16 |
| 1215131255 | Allan Clifford Katz | Dentist | 866 Hathaway Court, North Aurora, IL 60542 | 2007-06-13 |
| Find all providers in zip 60542 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811048036 | Midwest Neurology, Ltd. | Psychiatry & Neurology | 181 S Lincolnway, North Aurora, IL 60542-1609 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
| City | NORTH AURORA |
| Zip Code | 60542 |
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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.