MEDICARE: PETER A ANDREWS D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	34-006790-A	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275541468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER A ANDREWS D.O.

Provider Business Mailing Address
First Line	:	47 STATE ST
Second Line	:
City	:	STRUTHERS
State	:	OH
Zip	:	44471-1939
Country	:	US
Telephone Number	:	330-755-3311
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 STATE ST
Second Line	:
City	:	STRUTHERS
State	:	OH
Zip	:	44471-1939
Country	:	US
Telephone Number	:	330-722-3311
Fax Number	:	330-755-6656

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	03/07/2008

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Directions to “ PETER A ANDREWS D.O.” Practice Location

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