MR. TODD MATTHEW ANDRES (NPI# 1588846497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588846497 |
| Entity Type | Individual |
| Full Name | MR. TODD MATTHEW ANDRES |
| Credential | OT |
| Practice Address |
1050 Circle Dr Suite B Green Bay WI 54304-5568 |
| Practice Telephone | 9204971515 |
| Practice Fax Number | 9204971513 |
| Mailing Telephone | 9204971515 |
| Mailing Fax Number | 9204971513 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2011-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XE1200X |
Occupational Therapist Specialization: Ergonomics |
2768-026 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1050 CIRCLE DR SUITE B |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700068590 | Andresource, LLC | Clinic/Center | 1050 Circle Dr, Suite B, Green Bay, WI 54304-5568 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 225XE1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Ergonomics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194266783 | Kurt Hemmingsen | Occupational Therapist | W156n9000 Pilgrim Rd, Menomonee Falls, WI 53051-2272 | 2017-03-15 |
| 1932369121 | Dave James Moore | Occupational Therapist | 807 Pleasant Valley Rd, West Bend, WI 53095-9767 | 2008-06-11 |
| 1538327564 | Charlotte R Steckelberg | Occupational Therapist | 800 Compassion Way, Dodgeville, WI 53533-1956 | 2008-05-27 |
| 1144330796 | Vickie Patricia Mullins | Occupational Therapist | 920 State St, Manitowoc, WI 54220-4038 | 2006-08-30 |
| 1386754927 | Susan Marie Marquardt | Occupational Therapist | 1650 S 41st St, Manitowoc, WI 54220-7316 | 2006-08-30 |
Please comment or provide details below to improve the information on MR. TODD MATTHEW ANDRES.
| 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.