DR. KEVIN ANDRUSS (NPI# 1922206465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922206465 |
| Entity Type | Individual |
| Full Name | DR. KEVIN ANDRUSS |
| Credential | M.D. |
| Practice Address |
12401 E. Washington Blvd Intercommunity Emergency Medical Group Whittier CA 90602 |
| Practice Telephone | 5626980811 |
| Practice Fax Number | 5629455283 |
| Mailing Telephone | 5626980811 |
| Mailing Fax Number | 5629455283 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2010-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A105449 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12401 E. WASHINGTON BLVD INTERCOMMUNITY EMERGENCY MEDICAL GROUP |
| City | WHITTIER |
| State | CA |
| Zip Code | 90602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346896412 | Alexis Pettway | Specialist/Technologist | 13847 Earlham Drive, Whittier, CA 90602 | 2019-08-14 |
| 1053898486 | Bridget Joanne Islas | Case Manager/Care Coordinator | 8219 Milton Ave., Apt. D, Whittier, CA 90602 | 2018-07-27 |
| 1184175606 | Metzie America Moran | Specialist | 8135 Painter Ave Suite 201, Whittier, CA 90602 | 2016-10-19 |
| 1811348360 | Jasmine Renee Simmons | Speech-Language Pathologist | 8135 Painter Avenue, Suite #200, Whittier, CA 90602 | 2016-06-27 |
| 1194108084 | Aaronshawn Poolsaad | Optometrist | 8135 Painter Ave Ste 100, Whittier, CA 90602 | 2015-07-09 |
| 1124409677 | Alliance Orthotics & Prosthetics Inc. | Clinic/Center | 12458 East Washington Blvd, Whittier, CA 90602 | 2015-06-10 |
| 1205223567 | Maria Ursula Jarrin Lopez | Speech-Language Pathologist | 8135 Painter Avenue, Suite 201, Whittier, CA 90602 | 2015-04-23 |
| 1932595055 | Sotto Lin Weng | Acupuncturist | 7754 Painter Avenue, Whittier, CA 90602 | 2015-04-15 |
| 1770978660 | Carolyn Rumpeltes | Physician Assistant | 12462 Putnam St Ste 203, Whittier, CA 90602 | 2015-03-30 |
| 1609273671 | Anthony Razon | Specialist/Technologist | 8132 Painter Ave Ste 201, Whittier, CA 90602 | 2014-11-19 |
| Find all providers in zip 90602 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568626331 | Alisa K Sato | Emergency Medicine | 12401 Washington Boulevard, Intercommunity Emergency Medicine Group (iemg), Whittier, CA 90602 | 2008-07-10 |
| 1750439543 | Hal E. Richardson | Emergency Medicine | Intercommunity Emergency Medical Group, 12401 East Washington Blvd, Whittier, CA 90602 | 2007-01-08 |
| 1104289495 | David Thomas Clark | Emergency Medicine | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2016-04-04 |
| 1992187959 | Stephanie Lauw | Emergency Medicine | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2015-06-25 |
| 1275914350 | Mercedeh Modir Shanechi | Emergency Medicine | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2015-06-15 |
| 1194103358 | Courtney Jane Hentzen | Emergency Medicine | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2015-05-08 |
| 1619354578 | Daniel Cobau | Emergency Medicine | 12401 Washington Blvd, Whittier, CA 90602 | 2015-04-29 |
| 1669813945 | Eric D Schnitzer | Emergency Medicine | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2013-07-15 |
| 1932547809 | Robert Slough | Emergency Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2013-06-12 |
| 1902108145 | Marla M Gandara | Emergency Medicine | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2010-11-19 |
| Find all providers in WHITTIER | ||||
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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.