Provider Demographics
NPI:1538159421
Name:POST, ANDREW A (DO)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:A
Last Name:POST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4046
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65808-4046
Mailing Address - Country:US
Mailing Address - Phone:417-269-2281
Mailing Address - Fax:417-883-5466
Practice Address - Street 1:2750 S. CAMPBELL
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-3506
Practice Address - Country:US
Practice Address - Phone:417-269-2281
Practice Address - Fax:417-883-5466
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-30659207Q00000X
MO2003019567207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200312060AMedicaid
MO151430001Medicare Oscar/Certification
KSI28357Medicare UPIN
KS106000Medicare ID - Type Unspecified