Andrew Cantwell Pedtke, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

110231 Issued in CA

Practice address

UCSF Orthopaedic Surgery
500 Parnassus Ave Mu 3Rd Floor
San Francisco, CA 94143-0001

Phone

(415) 476-1166

Fax

(415) 476-1304

NPI assigned

Dec 27, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 121 Care LLC

  • Prosthetic/Orthotic Supplier
  • New York, NY
  • NPI 1164930665
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261872000000",
    "number": "1427388362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCSF ORTHOPAEDIC SURGERY",
            "address_2": "500 PARNASSUS AVE MU 3RD FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-476-1166",
            "fax_number": "415-476-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSF ORTHOPAEDIC SURGERY",
            "address_2": "500 PARNASSUS AVE MU 3RD FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430001",
            "telephone_number": "415-476-1166",
            "fax_number": "415-476-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDTKE",
        "first_name": "ANDREW",
        "middle_name": "CANTWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-27",
        "last_updated": "2009-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "110231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkat Ram Peddi, MD
• Pediatric Associates
• Christina Pedley
• Nicholas Pedrick
• Michelle Pedronan
• Jasmine Monae Peek, RN, PMH-BC
• Kristen E Peek, NP
• Haley Peele, PHD
• Avonnet M Peeler
• Monty C Peeler, SUBSTANCE ABUSE COUN

• Orthopaedic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.