Andrew L De Jong
TEXAS ENT AND ALLERGY ASSOCIATES, LLP


Address: 1730 Birmingham Dr, College Station, TX 77845-4063
Phone: 9796936000

Andrew L De Jong (NPI# 1750328092, PAC ID# 5698736882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1750328092
PAC ID by PECOS 5698736882
Professional Enrollment ID I20050810000667
Full Name Andrew L De Jong
Organization Legal Name TEXAS ENT AND ALLERGY ASSOCIATES, LLP
Address 1730 Birmingham Dr
College Station
TX 77845-4063
Phone Number 9796936000
Gender M
Credential MD
Medical School BAYLOR COLLEGE OF MEDICINE
Graduation Year 1990
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 0547299554
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450299 COLLEGE STATION MEDICAL CENTER
450011 CHI ST JOSEPH HEALTH
670004 ST MARKS MEDICAL CENTER
450187 BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM

Other Locations

Address Phone Organization
1730 Birmingham Dr, College Station, TX 77845-4063 9796936000 TEXAS ENT AND ALLERGY ASSOCIATES, LLP

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name TEXAS ENT AND ALLERGY ASSOCIATES, LLP
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Ronald B Kuppersmith Otolaryngology Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063
Kellous A Price Otolaryngology Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063
Michael F Mcmahon Otolaryngology Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063
Genna R Lechler Nurse Practitioner Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063
Jennifer Marie Muehlebach Qualified Audiologist Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063
Janet Joyce Wilson Audiologist Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063

Office Location

Street Address 1730 BIRMINGHAM DR
City COLLEGE STATION
State TX
Zip 77845-4063

Physicians in the same location

Name Specialty Organization Address
Ronald B Kuppersmith Otolaryngology Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063
Kellous A Price Otolaryngology Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063
Michael F Mcmahon Otolaryngology Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063
Genna R Lechler Nurse Practitioner Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063
Rohini Ragupathi Internal Medicine Regional Employee Assistance Program Inc 1730 Birmingham Dr, Suite 100, College Station, TX 77845-4063
Jennifer Marie Muehlebach Qualified Audiologist Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063
Janet Joyce Wilson Audiologist Texas Ent and Allergy Associates, LLP 1730 Birmingham Dr, College Station, TX 77845-4063

Physicians in the same zip code

Name Specialty Organization Address
John W Williams General Surgery Regional Employee Assistance Program Inc 1602 Rock Prairie Rd, Suite 1100, College Station, TX 77845-0001
Joseph J Roman Internal Medicine Regional Employee Assistance Program Inc 1602 Rock Prairie Rd, College Station, TX 77845-0001
Conde N Anderson Family Medicine Regional Employee Assistance Program Inc 1602 Rock Prairie Rd, College Station, TX 77845-0001
Sidney C. Ontai General Practice Regional Employee Assistance Program Inc 1602 Rock Prairie Rd, College Station, TX 77845-0001
Arun K Jain Internal Medicine Regional Employee Assistance Program Inc 1602 Rock Prairie Rd, College Station, TX 77845-0001
Jill Linsey Holcomb Nurse Practitioner Regional Employee Assistance Program Inc 1602 Rock Prairie Rd, College Station, TX 77845-0001
Sandra Md Nweke Family Medicine Regional Employee Assistance Program Inc 1602 Rock Prairie Rd, College Station, TX 77845-0001
Catherine Manga Nurse Practitioner Regional Employee Assistance Program Inc 1602 Rock Prairie Rd, College Station, TX 77845-0001
Jasvinder S Sidhu Cardiovascular Disease (cardiology) Regional Employee Assistance Program Inc 1602 Rock Prairie Rd, College Station, TX 77845-0001
Aderemi Jaiyeola Gastroenterology Regional Employee Assistance Program Inc 1602 Rock Prairie Rd, College Station, TX 77845-0001
Find all physicians in zip 77845

Competitor

Search similar physicians

City COLLEGE STATION
Zip Code 77845
Specialty OTOLARYNGOLOGY
City + Specialty COLLEGE STATION + OTOLARYNGOLOGY

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Dataset Information

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.

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