MARK DOUGLAS ANDREWS MD NPI 1568446920

NPI Information

NPI: 1568446920
Provider Name: MARK DOUGLAS ANDREWS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1930 PEACE HAVEN RD
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 716-2255
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Mark Douglas Andrews, MD is a family medicine in Winston Salem, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mark Douglas Andrews, MD NPI is 1568446920. 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:

1930 PEACE HAVEN RD
WINSTON SALEM, NC
ZIP 27106-817
Phone: (336) 716-2255
Fax: (336) 760-5367

The enumeration date for this NPI number is 11/30/2005 and was last updated on 3/25/2014.

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
1	207QG0300X	Family Medicine	Geriatric Medicine	26180	NORTH CAROLINA	No
2	207Q00000X	Family Medicine		26180	NORTH CAROLINA	Yes

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
1	5611962	MEDICAID	VIRGINIA
2	12189	OTHER		PARTNERS
3	5782567	OTHER		AETNA
4	11394	OTHER		BCBS
5	8911394	MEDICAID	NORTH CAROLINA
6	204485D	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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