Andrew D Ta (NPI# 1356367338, PAC ID# 1153394945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1356367338 |
| PAC ID by PECOS | 1153394945 |
| Professional Enrollment ID | I20040819000073 |
| Full Name | Andrew D Ta |
| Address |
3300 Commerce Dr Dekalb IL 60115-8416 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | NEUROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140286 | KISHWAUKEE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3300 Commerce Dr, Dekalb, IL 60115-8416 | ||
| 181 S Lincolnway, North Aurora, IL 60542-1609 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 98% | |
| MIPS_EC_282_overall | Dementia: Functional Status Assessment | 100% |
| Street Address |
3300 COMMERCE DR |
| City | DEKALB |
| State | IL |
| Zip | 60115-8416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Ray | Physical Therapy | Athletico Ltd | 2337 Sycamore Rd, Dekalb, IL 60115-2007 |
| David W Kolzow | Physical Therapy | Athletico Ltd | 2337 Sycamore Rd, Dekalb, IL 60115-2007 |
| Christopher W Schuetz | Physical Therapy | Athletico Ltd | 2337 Sycamore Rd, Dekalb, IL 60115-2007 |
| Allison R Reed | Physical Therapy | Athletico Ltd | 2337 Sycamore Rd, Dekalb, IL 60115-2007 |
| Megan M Tweed | Optometry | 2300 Sycamore Rd, Dekalb, IL 60115-2067 | |
| G Charles Schram | Chiropractic | Schram Chiropractic Clinic, P.C. | 229 E Hillcrest Dr, Dekalb, IL 60115-2403 |
| Theodore F Paul | Chiropractic | Schram Chiropractic Clinic, P.C. | 229 E Hillcrest Dr, Dekalb, IL 60115-2403 |
| Michael D Reuland | Physical Therapy | Creative Therapeutics, Ltd. | 400 E Hillcrest Dr, Suite 110, Dekalb, IL 60115-2480 |
| Sara Kalkman | Physical Therapy | Creative Therapeutics, Ltd. | 400 E Hillcrest Dr, Suite 110, Dekalb, IL 60115-2480 |
| Victor F Verbic | Optometry | Dekalb Optometric Associates, PC | 121 123 E Locust, Dekalb, IL 60115-3207 |
| Find all physicians in zip 60115 | |||
| City | DEKALB |
| Zip Code | 60115 |
| Specialty | NEUROLOGY |
| City + Specialty | DEKALB + NEUROLOGY |
Please comment or provide details below to improve the information on Andrew D Ta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.