Provider Type Icon

ANDREW GORDON KLOBERDANZ D.O. NPI 1619534575


NPI Information

NPI: 1619534575
Provider Name: ANDREW GORDON KLOBERDANZ, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
19641 E PARKER SQUARE DR STE E
PARKER, CO
ZIP 80134
Phone: (303) 805-2222
Get Directions

Andrew Gordon Kloberdanz, D.O. is a family medicine in Parker, CO with 5 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. Andrew Gordon Kloberdanz, D.O. NPI is 1619534575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year:2019

The provider's business location address is:

19641 E PARKER SQUARE DR STE E
PARKER, CO
ZIP 80134-397
Phone: (303) 805-2222
Fax: (303) 805-2226

The NPI 1619534575 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 5/24/2019 and was last updated on 9/29/2023.


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
1207Q00000XFamily MedicineO-1697IDAHONo
2207QA0401XFamily MedicineAddiction MedicineO-1697IDAHONo
3207QA0401XFamily MedicineAddiction MedicineDR.0071075COLORADONo
4207Q00000XFamily MedicineDR.0071075COLORADOYes

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.