Individual
DR. EDWARD H ANDRES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 N. RIVERSIDE RD.,, SUITE G 50, SAINT JOSEPH, MO 64507-2553
(816) 671-4888
(816) 671-4890
Mailing address
802 N. RIVERSIDE RD.,, SUITE G 50, SAINT JOSEPH, MO 64507-2553
(816) 671-4888
(816) 671-4890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R4278
MO
2086S0127X
Trauma Surgery Physician
R4278
MO
2086S0129X
Vascular Surgery Physician
R4278
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001262101
COMMUNITY HEALTH PLAN
MO
05
—
100130870B
—
KS
05
—
200374411
—
MO
01
—
P00193414
RR MEDICARE
MO
Enumeration date
07/07/2006
Last updated
02/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us