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ANDREW J MANDERY MD LLC
NPI 1922294115
Clinic/Center in Kokomo, IN

Active since September 20, 2007
1948 W BOULEVARD, KOKOMO, IN 46902(765) 236-1290(765) 236-0420 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew J Mandery Md Llc NPPES

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

ANDREW J MANDERY MD LLC (NPI 1922294115) is a healthcare organization registered as a clinic/center in Kokomo, Indiana and active in the NPI registry since September 2007. The organization lists Andrew Jay Mandery, Owner, as its authorized official.

NPPES Registry Identity

NPI1922294115
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameANDREW J MANDERY MD 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 Jay ManderyOwner · (765) 236-1290
Enumeration DateSeptember 20, 2007
✔ NPI 1922294115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1948 W BOULEVARD, Kokomo, IN 46902
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Other Identifiers 2

Medicare UPING28297
Other148380Medicare Provider No.

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 J Mandery MD LLC's NPI number?

The NPI number for Andrew J Mandery MD LLC is 1922294115. It was assigned to this organization in the NPPES registry on September 20, 2007.

Where is Andrew J Mandery MD LLC located?

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

What is Andrew J Mandery MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Andrew J Mandery MD LLC was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.