Lourdes V Andaya MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

4301032565 Issued in MI

Legal business name

LOURDES V ANDAYA MD PC

Practice address

7 Cameron PL
Grosse Pointe, MI 48230-1912

Phone

(313) 832-2880

Fax

(313) 832-2880

NPI assigned

May 16, 2007

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lourdes V Andaya, MDNPI 1831274786

Title

President

Phone

(313) 832-2880

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lourdes Villalobos Andaya, MD

  • Neurology Physician
  • Detroit, MI
  • NPI 1831274786
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1720295280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST",
            "address_2": "SUITE 819",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012020",
            "telephone_number": "313-832-2880",
            "fax_number": "313-832-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CAMERON PL",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301912",
            "telephone_number": "313-832-2880",
            "fax_number": "313-832-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES V ANDAYA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "ANDAYA",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-832-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301032565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE  SHIELD",
            "identifier": "OH23713",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1783024-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen McKinley Light, MSW, ACSW
• Judith T. Lipinski, M.D.
• Arielle Ruth Lochrie, DO
• Gina Lopiccolo
• Odette Lorenzo, PHARMACIST
• Cristine Lulgjuraj, PHYSICIAN ASSISTANT
• Douglas J Macaskill, DO
• Sarah E Macmaster, DO
• Myrtice E Macon, M.D.
• Manaf Madoun, M.D.

• Neurology Physician in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.