Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861477903 Individual Practitioner Female Practitioner

Dr. Andrea Slifer Loder , MD

Pediatrics • South Haven, MI

Professional Overview & Biography Verified Profile Summary

Dr. Andrea Loder, MD is a registered healthcare professional specializing in Pediatrics in South Haven, MI. Practice services are available at 965 S BAILEY AVE STE 2-4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

965 S Bailey Ave Ste 2-4

South Haven, MI 490906743

Telephone 2696392777
Fax 2696392776
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in South Haven, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
3 Specialists

Practicing in South Haven, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301116417

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ME70335

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
379588800 (FL)
Commercial Insurance / Payer ID Bcbsfl
28977 (FL)

Secondary Practice Locations

1005 Mar Walt Dr, Pediatric Department

Fort Walton Beach, FL 325476707

Phone: 8508638203

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Donald Salmon , PA-C

Physician Assistant - Medical

NPI 1003832908

Physician Assistant (Certified)

Dr. Mark Kemp , DO

Internal Medicine

NPI 1053365064

Doctor of Osteopathic Medicine (D.O.)

Dr. Lori Dotson , MD

Internal Medicine

NPI 1639198179

Doctor of Medicine (M.D.)

Teresa Ansinn , ANP

Nurse Practitioner - Adult Health

NPI 1891185765

Adult Nurse Practitioner

Dr. Ramon Urrea , MD

Internal Medicine

NPI 1952331613

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 28, 2018

Registered at 965 S BAILEY AVE STE 2-4, SOUTH HAVEN, MI 490906743 (Tel: 2696392777)

NPI Profile Active January 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2017

Registered at 1005 MAR WALT DR, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 325476707 (Tel: 8508638203)

📍
Updated Business Mailing Address January 16, 2017

Registered at 1005 MAR WALT DR, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 325476707 (Tel: 8508638203)

👤
Provider Name / Credentials Updated January 16, 2017

Recorded as ANDREA LODER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2017

Pediatrics (License #ME70335 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1005 MAR WALT DR, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 325476707 (Tel: 8508638203)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1005 MAR WALT DR, PEDIATRIC DEPARTMENT, FORT WALTON BEACH, FL 325476707 (Tel: 8508638203)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANDREA LODER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #ME70335 in FL)

🟢
Initial NPI Registration & Enumeration December 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861477903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2005
Last Update: November 27, 2023
Sole Proprietor: No

Mailing Address

1005 Mar Walt Dr, Pediatric Department

Fort Walton Beach, FL 325476707

Phone: 8508638203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.