Provider Demographics
NPI:1417989674
Name:NOSTI, ANDREW J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:NOSTI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:250 NE MULBERRY ST
Mailing Address - Street 2:C/O SJS MEDICAL MANAGEMENT, SUITE 202
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-4533
Mailing Address - Country:US
Mailing Address - Phone:816-389-4130
Mailing Address - Fax:816-389-4140
Practice Address - Street 1:250 NE MULBERRY ST
Practice Address - Street 2:C/O SJS MEDICAL MANAGEMENT, SUITE 202
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-4533
Practice Address - Country:US
Practice Address - Phone:816-389-4130
Practice Address - Fax:816-389-4140
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2006017168207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204456503Medicaid
MOS55E823Medicare PIN
MOI64622Medicare UPIN
MOP00437227Medicare PIN
MO204456503Medicaid
MOJ11E823Medicare PIN