Andrew Gordon Antell, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

37539 Issued in CO

Practice address

4715 Arapahoe Ave
Boulder, CO 80303-1385

Phone

(303) 385-2000

Fax

(303) 444-1839

NPI assigned

Dec 6, 2005

Last updated

Aug 22, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Upstate University Radiation Oncology, Inc.

  • Radiation Oncology Physician
  • Syracuse, NY
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  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1508840158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE",
            "address_2": "SUITE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114723",
            "telephone_number": "303-930-7800",
            "fax_number": "303-930-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031385",
            "telephone_number": "303-385-2000",
            "fax_number": "303-444-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTELL",
        "first_name": "ANDREW",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "37539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99554771",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Tate Ankenbrandt, LPCC
• Alicia Ankenman, MA, LPC, SEP, BSP
• Dhiraj Nitin Ankolekar
• Annamaria Boehms Ma LPC
• Julie Ansell, MD
• Antelope Recovery LLC
• Antelope Recovery LLC
• Anthony Riske Counseling LLC
• Heather Lee Anthony, M.A.
• Kristina A Anton-Schnell, MD

• Radiation Oncology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Radiation Oncology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.