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ANDREA TERESA DIMICHELE-MANES M.D. NPI 1689774788


NPI Information

NPI: 1689774788
Provider Name: ANDREA TERESA DIMICHELE-MANES, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: POCATELLO HEALTH SERVICES LLC

PECOS Registration: Yes

Address:
310 E WALNUT ST
GARDEN CITY, KS
ZIP 67846
Phone: (620) 275-9752
Get Directions

Andrea Teresa Dimichele-manes, M.D. is an obstetrics gynecology in Garden City, KS with 24 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Andrea Teresa Dimichele-manes, M.D. NPI is 1689774788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

310 E WALNUT ST
GARDEN CITY, KS
ZIP 67846-572
Phone: (620) 275-9752
Fax: (620) 275-4306

The NPI 1689774788 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 9/25/2006 and was last updated on 3/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology200601542NORTH CAROLINANo
2207V00000XObstetrics & Gynecology04-45692KANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15906092MEDICAIDNORTH CAROLINA

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: 11/14/2023

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.