John B Andelin, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

5162 Issued in ND

Practice address

1301 15TH Ave W
Williston, ND 58801-3821

Phone

(701) 572-3800

Fax

(701) 774-7402

NPI assigned

Oct 12, 2006

Last updated

Sep 17, 2008By 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

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Forward Pathology Solutions LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Richmond, VA
  • NPI 1982266391
  Medicare reassignment NPD
• John B Andelin MD PC

  dba Pathology Services

  • Anatomic Pathology & Clinical Pathology Physician
  • Williston, ND
  • NPI 1821248477
  Authorized official Same address or phone
• Pathology Services

  • Anatomic Pathology & Clinical Pathology Physician
  • Williston, ND
  • NPI 1457485799
  Authorized official Same address or phone
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1982793386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 2ND AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015920",
            "telephone_number": "701-572-3800",
            "fax_number": "701-774-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013821",
            "telephone_number": "701-572-3800",
            "fax_number": "701-774-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDELIN",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ND",
            "license": "5162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisca Chinonye Alberti
• Marcela Alimin, PHARM.D
• Brittny Amanda Allard, LMSW
• Cynthia Marie Alonzo
• Melissa Kay Altenhofen
• Allison R Anderson, OD
• Derek Anderson
• Gregory A. Anderson, D.D.S.
• Jenna Anderson, RN
• Sarah Elizabeth Anderson, MSW, LICSW

• Anatomic Pathology & Clinical Pathology Physician in Williston, ND
• Providers in Williston, ND by specialty
• Anatomic Pathology & Clinical Pathology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.