NPI Code Details Logo

NPI 1205836657

NPI 1205836657 : ANDREW W PIERING M.D. : EVANSVILLE, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205836657
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ANDREW W PIERING M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/28/2005
-----------------------------------------------------
    Last Update Date     |    05/13/2015
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    350 W COLUMBIA ST SUITE 440
-----------------------------------------------------
    City                 |    EVANSVILLE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47710-1782
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-425-2461
-----------------------------------------------------
    Fax                  |    812-424-7254
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1312 PROFESSIONAL BLVD SUITE 200
-----------------------------------------------------
    City                 |    EVANSVILLE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47714-8007
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-491-6419
-----------------------------------------------------
    Fax                  |    812-491-6465
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RN0300X
-----------------------------------------------------
    Taxonomy Name        |    Nephrology Physician
-----------------------------------------------------
    License Number       |    1050681
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.