Healthcare Provider Details

I. General information

NPI: 1427360643
Provider Name (Legal Business Name): ANDREW K RHINEHART M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2010
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 S MAIN ST STE 129
SALEM IN
47167-1350
US

IV. Provider business mailing address

403 S MAIN ST STE 129
SALEM IN
47167-1350
US

V. Phone/Fax

Practice location:
  • Phone: 812-883-1760
  • Fax: 812-883-8160
Mailing address:
  • Phone: 812-883-1760
  • Fax: 812-883-8160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01099765A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: