Healthcare Provider Details

I. General information

NPI: 1306852173
Provider Name (Legal Business Name): ANDREW S MACDOWELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 01/13/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OHIOHEALTH BLVD SUITE 260
DELAWARE OH
43015
US

IV. Provider business mailing address

L-3401
COLUMBUS OH
43260-3401
US

V. Phone/Fax

Practice location:
  • Phone: 740-615-0500
  • Fax: 740-615-0501
Mailing address:
  • Phone: 740-615-1324
  • Fax: 740-615-1344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number35-07-7062-M
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.077062
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: