Rendoff, Andrew D

Rendoff, Andrew D is an sole proprietor health care provider with primary practice located at 12315 N Vistoso Park Rd , Oro Valley AZ 85755-5819. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Rendoff, Andrew D can be contacted via phone (520) 544-9700.

Contact Information

Primary practice address
12315 N Vistoso Park Rd Oro Valley AZ 85755-5819
Phone: (520) 544-9700
Fax: (520) 618-6060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X T01462 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9077 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2017012741 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9077 Arizona

Profile Details

NPI number 1043402373
LBN Legal business name Rendoff, Andrew D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2007
Last updated Sep 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043402373 NPPES
Kansas Other 427175 MEDICARE NUMBER
Kansas Other 427175 MEDICARE NUMBER
Kansas MEDICAID 200442050A MEDICARE NUMBER

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