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ANDREW MANDERY MD PLASTIC SURGERY LLC
NPI 1629399266
Surgery - Plastic and Reconstructive Surgery in Kokomo, IN

Active since June 17, 2010
1948 W BOULEVARD, KOKOMO, IN 46902(765) 236-1290(765) 236-0420 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew Mandery Md Plastic Surgery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW MANDERY MD PLASTIC SURGERY LLC (NPI 1629399266) is a healthcare organization registered as a plastic and reconstructive surgery in Kokomo, Indiana and active in the NPI registry since June 2010. The organization lists Andrew J. Mandery, Physician, as its authorized official.

NPPES Registry Identity

NPI1629399266
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameANDREW MANDERY MD PLASTIC SURGERY LLC
Location Address1948 W BOULEVARDKokomo, IN 46902-6078
Mailing Address1948 W BoulevardKokomo, IN 46902-6078 · (765) 236-1290 · Fax (765) 236-0420
Phone(765) 236-1290
Fax(765) 236-0420
Organization SubpartNo
Authorized OfficialAndrew J. ManderyPhysician · (765) 236-1290
Enumeration DateJune 17, 2010
Last NPPES UpdateJuly 2, 2014
✔ NPI 1629399266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in IN · 01045232
Definition

A surgeon who specializes in plastic and reconstructive surgery.

1948 W BOULEVARD, Kokomo, IN 46902
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Other Identifiers 2

Medicaid200101450BIN
Medicare UPING28297IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Reviews for ANDREW MANDERY MD PLASTIC SURGERY LLC

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Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

ANDREW J MANDERY MD LLC
Clinic/Center
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 236-1290
HOWARD REGIONAL PLASTIC SURGERY
Surgery (Plastic and Reconstructive Surgery)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 236-1290
TAREN L DUNCAN-FAUCETT MSW, LCSW
Social Worker (Clinical)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (574) 732-2485
TIFFANY ANN CREAGER MSW, LSW
Social Worker
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
MONICA PATREASE MCDONALD
Counselor
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
JENNIFER MCNEANY
Psychologist (School)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
ERIC JAMES REIMNITZ
Psychologist
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
CALAH UNIQUE OGLESBY
Counselor
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
BETSY L DURHAM
Counselor (Mental Health)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
TIFFANY SEEKRI MSW, LCSW
Social Worker (Clinical)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
LAUREN WHITNEY MERRELL LCSW
Social Worker (Clinical)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 438-7213
MR. JOHN DIETZ
Counselor (Mental Health)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (574) 727-1765

Frequently Asked Questions

What is ANDREW MANDERY MD PLASTIC SURGERY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1629399266, enumerated as an "organization" on June 17, 2010.

Where is the provider located?

The provider is located at 1948 W BOULEVARD KOKOMO, IN 46902 and the phone number is (765) 236-1290.

What is the provider's specialty?

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

What insurance does ANDREW MANDERY MD PLASTIC SURGERY LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.