La Vergne Andre, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1101 Issued in MD

Practice address

14202 Lake Run CT
Bowie, MD 20720-4861

Phone

(301) 323-5652

Fax

(410) 740-2412

NPI assigned

Apr 10, 2008

Sex

Female

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

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Home Physicians Baltimore, PC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1952591547
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1447423397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14202 LAKE RUN CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204861",
            "telephone_number": "301-323-5652",
            "fax_number": "410-740-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14202 LAKE RUN CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204861",
            "telephone_number": "301-323-5652",
            "fax_number": "410-740-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRE",
        "first_name": "LA VERGNE",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terence Gene Anderson
• Amstrong Tandu Andoh
• Electa Andong
• Gwendoline Andong
• Ubeneng Unice Andong
• Andrew S. Dobin, MD PA
• Andrew S. Dobin, MD PA
• Alexis P Andrew, PHARMD, RPH
• Andyson Healthcare Services
• Andyson Transportation Services

• Podiatrist in Bowie, MD
• Providers in Bowie, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.