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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: August 09, 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

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY ANN CREAGER MSW, LSW
Social Worker
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
MR. JOHN DIETZ
Counselor (Mental Health)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (574) 727-1765
LAUREN WHITNEY MERRELL LCSW
Social Worker (Clinical)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 438-7213
ERIC JAMES REIMNITZ
Psychologist
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437
TAREN L DUNCAN-FAUCETT MSW, LCSW
Social Worker (Clinical)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (574) 732-2485
HOWARD REGIONAL PLASTIC SURGERY
Surgery (Plastic and Reconstructive Surgery)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 236-1290
JENNIFER MCNEANY
Psychologist (School)
1948 W BOULEVARD
KOKOMO, IN 46902
Howard County (765) 452-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Mandery MD Plastic Surgery LLC's NPI number?

The NPI number for Andrew Mandery MD Plastic Surgery LLC is 1629399266. It was assigned to this organization in the NPPES registry on June 17, 2010.

Where is Andrew Mandery MD Plastic Surgery LLC located?

Andrew Mandery MD Plastic Surgery LLC is located at 1948 W Boulevard, Kokomo, IN 46902. The listed phone number is (765) 236-1290.

What is Andrew Mandery MD Plastic Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Andrew Mandery MD Plastic Surgery LLC was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.