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.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
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

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)

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Other Providers at the Same Location


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

Clinic/Center
1948 W BOULEVARD
KOKOMO, IN 46902
Surgery (Plastic and Reconstructive Surgery)
1948 W BOULEVARD
KOKOMO, IN 46902
Social Worker (Clinical)
1948 W BOULEVARD
KOKOMO, IN 46902
Social Worker
1948 W BOULEVARD
KOKOMO, IN 46902
Counselor
1948 W BOULEVARD
KOKOMO, IN 46902
Psychologist (School)
1948 W BOULEVARD
KOKOMO, IN 46902
Psychologist
1948 W BOULEVARD
KOKOMO, IN 46902
Counselor
1948 W BOULEVARD
KOKOMO, IN 46902
Counselor (Mental Health)
1948 W BOULEVARD
KOKOMO, IN 46902
Social Worker (Clinical)
1948 W BOULEVARD
KOKOMO, IN 46902
Social Worker (Clinical)
1948 W BOULEVARD
KOKOMO, IN 46902
Counselor (Mental Health)
1948 W BOULEVARD
KOKOMO, IN 46902

Frequently Asked Questions

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

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

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

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