DR. ANDREW JONATHAN NIEWALD


Address: 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117-5169
Phone: 3862313570

DR. ANDREW JONATHAN NIEWALD (NPI# 1548381049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548381049
Entity Type Individual
Full Name DR. ANDREW JONATHAN NIEWALD
Credential MD
Practice Address 305 Memorial Medical Pkwy Ste 502
Daytona Beach
FL 32117-5169
Practice Telephone 3862313570
Practice Fax Number 3862313571
Mailing Telephone 3862313570
Mailing Fax Number 3862313571
Enumeration Date 2007-04-02
Last Update Date 2019-01-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME114967 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 206336307 05

Office Location

Street Address 305 MEMORIAL MEDICAL PKWY STE 502
City DAYTONA BEACH
State FL
Zip Code 32117-5169

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225532336 Kristine Mcgowan Nurse Practitioner 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117-5169 2018-03-22
1013112580 Joshua Robert Eisenhut Family Medicine 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117-5169 2007-06-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992350409 Erin Selfridge Pharmacist 1500 Beville Rd #300, Daytona Beach, FL 32117 2019-08-02
1881185494 Wellspring Health, LLC Chiropractor 701 Ridgewood Ave, Holly Hills, FL 32117 2018-05-21
1780172791 L & L Db, LLC Clinic/Center 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 2018-04-25
1154837789 Brittany Nikolow Nurse Practitioner 1717 N. Clyde Morris, Daytona Beach, FL 32117 2017-12-19
1205356946 Alejandro Andre Pabon Rodriguez Nurse Anesthetist, Certified Registered Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 2017-06-23
1316492135 Ann Van Herck Physical Therapist 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 2016-08-22
1952784779 Kathryn Brenna Copley Nurse Practitioner 1890 Lpga Blvd., Daytona Beach, FL 32117 2015-06-30
1053719559 Alicia Graham Case Manager/Care Coordinator 1570 Megan Bay Circle, Holly Hill, FL 32117 2014-12-15
1578974440 Halifax Senior Care Inc Clinic/Center 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 2014-05-14
1013345883 Kist Alf, Inc Assisted Living Facility 1516 Carmen Avenue, Daytona Beach, FL 32117 2013-10-14
Find all providers in zip 32117

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164063178 Jordann Wood Family Medicine 1890 Lpga Blvd Ste 140, Daytona Beach, FL 32117-7131 2019-10-01
1154806933 Steve Anthony Lee Family Medicine 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 2018-09-27
1104347053 Harry Herman Blanke IIi Family Medicine 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 2017-06-30
1245636042 Dr Ejaz Ahmed Md Pa Family Medicine 405 North Clyde Morris Blvd, Daytona Beach, FL 32114-2730 2014-11-06
1063703833 Brittany O'dwyer Newton Family Medicine 201 N Clyde Morris Blvd Ste 210, Daytona Beach, FL 32114-2765 2011-04-27
1548498561 Ayodeji Ladele Family Medicine 1410 Lpga Blvd Ste 136, Daytona Beach, FL 32117-5146 2009-06-29
1417182932 Phillip Michael Mele Jr. Family Medicine 331 Williams Ave, Daytona Beach, FL 32118-3339 2009-05-28
1326280991 Kevin Anthony Johnson Family Medicine 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 2009-03-29
1265658744 Jessika Gil-pineda Family Medicine 1300 Red John Dr, Daytona Beach, FL 32124-1075 2007-04-17
1134229412 Donald Joseph Goddard Family Medicine 143 Executive Cir, Daytona Beach, FL 32114-1180 2006-09-25
Find all providers in DAYTONA BEACH

Competitor

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City DAYTONA BEACH
Zip Code 32117

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Dataset Information

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.

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