ANDREW CHRISTIAN VANDAS (NPI# 1891033973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891033973 |
Entity Type | Individual |
Full Name | ANDREW CHRISTIAN VANDAS |
Credential | PA-C |
Practice Address |
4350 S National Ave Suite C200 Springfield MO 65810-2607 |
Practice Telephone | 4174471000 |
Practice Fax Number | 4174476150 |
Mailing Telephone | 4174471000 |
Mailing Fax Number | 4174476150 |
Enumeration Date | 2013-01-23 |
Last Update Date | 2013-01-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4350 S NATIONAL AVE SUITE C200 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65810-2607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710983291 | Armin Jared Wagman | Pediatrics | 4350 S National Ave, # C-100, Springfield, MO 65810-2607 | 2005-06-21 |
1245613322 | Robert L Denney | Clinical Neuropsychologist | 4350 S National Ave, Suite B116, Springfield, MO 65810-2607 | 2015-07-07 |
1932511060 | Raechelle Hansen | Dentist | 4350 S National Ave, Suite #c-112, Springfield, MO 65810-2607 | 2014-05-23 |
1740604974 | Jennifer Acord | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2014-02-07 |
1780839019 | Cecelia Harris | Physical Therapist | 4350 S National Ave, Suite B116, Springfield, MO 65810-2607 | 2008-12-01 |
1184875452 | Nancy Joan Dickey | Occupational Therapist | 4350 S National Ave, Suite B 116, Springfield, MO 65810-2607 | 2008-10-06 |
1134388242 | Dawn Marie Rodriguez | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2008-06-04 |
1538357074 | Park Plaza Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 4350 S National Ave, Suite A108, Springfield, MO 65810-2607 | 2007-10-10 |
1295921179 | Nancy Jo Mcbride | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2007-09-24 |
1922290725 | Bradley Michael Newberry | Dentist | 4350 S National Ave, Springfield, MO 65810-2607 | 2007-08-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508373838 | Sunterra Springfield Oc, LLC | Skilled Nursing Facility | 4935 S National Ave, Springfield, MO 65810 | 2018-01-09 |
1982119392 | Boyoung Park | Specialist/Technologist | 4355 S National Ave Apt 905, Springfield, MO 65810 | 2017-12-07 |
1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
1700199668 | Telerad of Mo Account Management, LLC | Radiology | 5117 S. Neffleton Ave, Springfield, MO 65810 | 2010-07-21 |
1427286251 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 745 W El Camino Alto Drive, Springfield (s), MO 65810 | 2009-07-01 |
1033344304 | Teresa Mary Kaelin | Occupational Therapist | 3291 W. Ridge Run, Springfield, MO 65810 | 2009-05-15 |
1538366448 | Rani K Nair | Internal Medicine | 3231 S National Mercy Endocrineology, Ste 440, Springfield, MO 65810 | 2007-07-03 |
1467672519 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 4955 S. National Ave., Unit A, Springfield, MO 65810 | 2007-04-30 |
1336161983 | Leo Allan Tokarczyk | Dentist | 4777 S National Ave, Springfield, MO 65810 | 2006-07-24 |
Find all providers in zip 65810 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629592225 | Justin William Starling | Physician Assistant | 1515 Keys Ave, Springfield, IL 62702-2933 | 2017-07-26 |
1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
1932538980 | Emily Baecher | Physician Assistant | 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 | 2013-11-09 |
1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
1750660148 | Daniel Francis Reilly Jr. | Physician Assistant | 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 | 2011-08-16 |
1831499383 | Christin Wolak | Physician Assistant | 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 | 2010-11-01 |
1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
1043540669 | Kristen Dawn Dodd | Physician Assistant | 960 N 16th St Ste 207, Springfield, OR 97477-4175 | 2010-01-04 |
1831337765 | Cynthia R. Krinochkin | Physician Assistant | 3801 S. National, 5th Floor, Springfield, MO 65807-5210 | 2009-01-30 |
1578746079 | Jamie Moore | Physician Assistant | 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 | 2007-12-07 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65810 |
Please comment or provide details below to improve the information on ANDREW CHRISTIAN VANDAS.
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.