JOSHUA GLENN ANDREW PAC NPI 1245564491

NPI Information

  • NPI: 1245564491
  • Provider Name: JOSHUA GLENN ANDREW, PAC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 875 OAK ST SE
    SUITE 5020
    SALEM, OR
    ZIP 97301
  • Phone: (503) 371-4044

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NPI Details

Joshua Glenn Andrew, PAC is a surgical physician assistant in Salem, OR. Joshua Glenn Andrew, PAC NPI is 1245564491. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

875 OAK ST SE
SUITE 5020
SALEM, OR
ZIP 97301-975
Phone: (503) 371-4044
Fax: (503) 371-4356

The NPI 1245564491 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 9/21/2009 and was last updated on 12/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA130000OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500612024MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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