ANDREA MERNITZ


Address: 4001 W Goeller Blvd Ste A, Columbus, IN 47201-8309
Phone: 8123753330

ANDREA MERNITZ (NPI# 1962460964) 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) 1962460964
Entity Type Individual
Full Name ANDREA MERNITZ
Other Name ANDREA MERNITZ SIGNORINO
Credential MD
Practice Address 4001 W Goeller Blvd Ste A
Columbus
IN 47201-8309
Practice Telephone 8123753330
Practice Fax Number 8123753329
Mailing Telephone 8123753330
Mailing Fax Number 8123753329
Enumeration Date 2006-05-02
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 1051166 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM PIN 000000984082 01
IN 200229670A 05
IN IN MEDICAL LICENSE 1051166 01
IN BLUE CROSS ANTHEM 000000089944 01
IN MEDICARE RAILROAD 080141548 01

Office Location

Street Address 4001 W GOELLER BLVD STE A
City COLUMBUS
State IN
Zip Code 47201-8309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639652100 Svetlana Varchenko Nurse Practitioner 4001 W Goeller Blvd Ste A, Columbus, IN 47201-8309 2018-09-11
1174001291 Abra Black Nurse Practitioner 4001 W Goeller Blvd Ste A, Columbus, IN 47201-8309 2018-07-31
1760935134 Danielle Keach Nurse Practitioner 4001 W Goeller Blvd Ste A, Columbus, IN 47201-8309 2016-08-02
1124040589 Brian J Niedbalski Family Medicine 4001 W Goeller Blvd Ste A, Columbus, IN 47201-8309 2006-07-24
1336172394 Philippa M.e Shedd Family Medicine 4001 W Goeller Blvd Ste A, Columbus, IN 47201-8309 2006-07-09
1073551248 Jared L Brock Physician Assistant 4001 W Goeller Blvd Ste A, Columbus, IN 47201-8309 2006-06-02
1285692921 Ann Elizabeth James Nurse Practitioner 4001 W Goeller Blvd Ste A, Columbus, IN 47201-8309 2006-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699389569 Ryanne Nicole Slavens Speech-Language Pathologist 1974 Glenmoor Drive, Columbus, IN 47201 2020-09-08
1023670759 Alisha Nicole Scoville Counselor 2630 22nd Street, Columbus, IN 47201 2019-07-02
1467964718 Columbus Radiology Physicians LLC Radiology 2400 E. 17th Street, Columbus, IN 47201 2017-10-26
1790148849 Gabriel Woon Specialist 913 25th St., Columbus, IN 47201 2016-04-05
1144680604 Forefront Dermatology, S.c. Dermatology 244 Westwood Blvd, Columbus, IN 47201 2016-02-26
1871832550 Jennifer Lynn Grant Nurse Practitioner 836 Jackson St., Columbus, IN 47201 2013-01-31
1235404526 Eric Philip Tannenbaum Orthopaedic Surgery 940 N Marr Rd Ste C, Columbus, IN 47201 2012-03-20
1881994176 Terri Ann Brewer Social Worker 12000 W. Moores Vineyard Rd, Columbus, IN 47201 2010-11-02
1255654620 The Kane Group LLC Durable Medical Equipment & Medical Supplies 927 Fourth Street, Columbus, IN 47201 2010-03-12
1023243771 Allison K Royer Otolaryngology 2326 18th Street, Suite 230, Columbus, IN 47201 2009-05-26
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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
1386252757 Eventus Wholehealth Midwest Inc Family Medicine 2100 Midway St # 3722, Columbus, IN 47201-3722 2020-07-21
1699320705 Kelly Cephas-hill Family Medicine 2339 Linden Ave, Columbus, OH 43211-1631 2019-08-06
1043877962 1 On 1 Staffing and Wellness Clinic Family Medicine 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 2019-05-27
1952893950 Midland Medical Group, LLC Family Medicine 1000 Georgesville Rd, Columbus, OH 43228 2018-06-05
1134635105 138 Med Family Medicine 30 Lakeridge Ct, Columbus, GA 31904-1800 2017-12-28
1689193922 Timothy John Moore Family Medicine 180 Reinhard Ave, Columbus, OH 43206-2635 2017-09-19
1013437532 Mission Medical Associates, Inc. Family Medicine 589 Peniel Rd, Columbus, NC 28722 2017-06-26
1942735287 Dean Fordham Family Medicine 6886 Shadybrook Trl, Columbus, GA 31904-3802 2017-04-24
1487188587 Steven Hanrahan Family Medicine 2000 10th Ave Ste 380, Columbus, GA 31901-3709 2017-04-14
1962935866 Alexandra Blood Family Medicine 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 2017-04-07
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Competitor

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City COLUMBUS
Zip Code 47201

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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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