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RODNEY KENT VAN ANDEL M.D. NPI 1154326544


NPI Information

NPI: 1154326544
Provider Name: RODNEY KENT VAN ANDEL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3203 S MAIN ST
LINDALE, TX
ZIP 75771
Phone: (903) 266-4000
Get Directions

Rodney Kent Van Andel, M.D. is a family medicine in Lindale, TX with 25 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Rodney Kent Van Andel, M.D. NPI is 1154326544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:1999

The provider's business location address is:

3203 S MAIN ST
LINDALE, TX
ZIP 75771-727
Phone: (903) 266-4000
Fax: (903) 882-7751

The NPI 1154326544 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 5/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QS0010XFamily MedicineSports MedicineL7909TEXASNo
2207Q00000XFamily MedicineL7909TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1129375OTHERTEXASCHIPS
2TIN PLUS 001OTHERTEXASTRICARE CANTON LOCATION
38K1901OTHERTEXASTEXAS BCBS
4166412001MEDICAIDTEXAS
5P00165779OTHERTEXASRAILROAD MEDICARE
68V5495OTHERTEXASBCBS
78B6338MEDICARE ID-TYPE UNSPECIFIEDTEXAS
8166412003MEDICAIDTEXAS
9P00886861MEDICARE PINTEXAS
10138771100OTHERTEXASFIRSTCARE SOUTHWEST
11TIN PLUS 028OTHERTEXASTRICARE
12TIN PLUS 002OTHERTEXASTRICARE LAKE PALESTINE LOCATION
13TXB114779MEDICARE OSCAR/CERTIFICATIONTEXAS
14PP10013213OTHERTEXASTEXAS WORKERS COMP
15I04869MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.