ANDREW MANDERY MD PLASTIC SURGERY LLC - NPI 1629399266

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

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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.Information from the official NPPES registry record, last updated July 2, 2014.

NPPES Registry Identity

NPI1629399266

Entity TypeOrganization

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. How NPI validation works

★ Primary Specialty

Surgery · Plastic and Reconstructive Surgery

Taxonomy 2086S0122X · Allopathic & Osteopathic Physicians

✔ Licensed in IN · 01045232

A surgeon who specializes in plastic and reconstructive surgery.

1948 W BOULEVARD, Kokomo, IN 46902

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Also on File with NPPES

Other Identifiers2

200101450B (Medicaid, IN)
G28297 (Medicare UPIN, IN)

Group Practice1

This 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)