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1326024217

NPI Code Detail

MEDICARE: DR. ANDREW C. CHESTER MD

MEDICARE: DR. ANDREW C. CHESTER MD

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	207ZC0500X	Cytopathology Physician	01034352A	IN
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	01034352A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	220024761	OTHER		RR MEDICARE

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
2	000000092707	OTHER	IN	ANTHEM
4	000000007443	OTHER	IN	MPLAN

General Provider Information

NPI Number	:	1326024217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW C. CHESTER MD

Provider Business Mailing Address
First Line	:	14275 MIDWAY RD
Second Line	:	SUITE 400
City	:	ADDISON
State	:	TX
Zip	:	75001-3614
Country	:	US
Telephone Number	:	214-932-8029
Fax Number	:	610-271-4245

Provider Business Practice Location Address
First Line	:	2560 N. SHADELAND AVE.
Second Line	:	SUITE A
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-1706
Country	:	US
Telephone Number	:	317-275-8072
Fax Number	:	317-275-8018

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

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	05/01/2015

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Directions to “ DR. ANDREW C. CHESTER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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