MEDICARE: ANDREW M NARCELLES

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	35080171	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	:	1861480337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW M NARCELLES

Provider Business Mailing Address
First Line	:	5450 FRANTZ RD
Second Line	:	SUITE 250
City	:	DUBLIN
State	:	OH
Zip	:	43016-4134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7340 E BROAD ST
Second Line	:	SUITE B
City	:	BLACKLICK
State	:	OH
Zip	:	43004-9625
Country	:	US
Telephone Number	:	614-566-7300
Fax Number	:	614-544-7315

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	01/05/2022

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