Organization Active NPI

Andrea Kreithen MD PA

  • Specialist
  • Lakewood Ranch, FL
National Provider Identifier
1841419983
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
82699 Issued in FL
Legal business name
ANDREA KREITHEN MD PA
Practice address
7270 Kyle CT
Lakewood Ranch, FL 34240-8435
Phone
(941) 907-8175
Fax
(941) 757-3998
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Dr. Andrea Kreithen, MDNPI 1033154422
Title
Owner
Phone
(941) 907-8175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 82699 FL Primary

Addresses

Primary practice location

7270 Kyle CT
Lakewood Ranch, FL 34240-8435

Mailing address

8374 Market St # 120
Lakewood Ranch, FL 34202-5137
Phone (941) 907-8175

Other identifiers 1

IdentifierTypeStateIssuer
DD2402OtherFLRAIL ROAD MEDICARE

Other names 1

  • Wellpower MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819000352 FL Part B Supplier - Clinic/Group Practice 9739152448 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood Ranch, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2109520Andrea Kreithen MD PA7270 Kyle Court, Sarasota, FL 34240Certificate of waiverFeb 25, 2028

National Provider Directory

National Provider Directory

Locations

7270 Kyle Ct
Lakewood Ranch, FL 34240
Phone (941) 504-4423

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1841419983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8374 MARKET ST # 120",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025137",
            "telephone_number": "941-907-8175",
            "fax_number": "941-907-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 KYLE CT",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408435",
            "telephone_number": "941-907-8175",
            "fax_number": "941-757-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA KREITHEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "KREITHEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-907-8175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "82699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DD2402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellpower MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.