Tommi Andersen

Physician Assistant · Elkhart, IN

Individual Active NPI

NPI number 1407534712

Practice location

500 Arcade Ave Ste 230
Elkhart, IN 46514-2485
Phone
(574) 522-6565

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NPI record

NPI
1407534712
Entity type
Individual (Type 1)
Enumeration date
July 6, 2023
Last updated
December 20, 2023
Certified
December 20, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 10004195A IN

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone
(574) 647-6592
Fax
(574) 647-1821

Other practice locations (1)

  • 610 N Michigan St Ste 306, South Bend, IN 46601-1079 · (574) 647-6500

About Tommi Andersen

Tommi Andersen is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 500 Arcade Ave Ste 230, Elkhart, IN 46514-2485. The NPI number 1407534712 was assigned on July 6, 2023 and the record was last updated on December 20, 2023.

Tommi Andersen lists a license in the registry: #10004195A (IN) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tommi Andersen?

The NPI number is 1407534712.

What is the phone number of Tommi Andersen?

The phone number listed for the practice location is (574) 522-6565.

Where is Tommi Andersen located?

500 Arcade Ave Ste 230, Elkhart, IN 46514-2485.

What is the taxonomy code for Tommi Andersen?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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