MEDICARE: ANDREW M FOY 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	207Q00000X	Family Medicine Physician	D63335	MD
2	207Q00000X	Family Medicine Physician	21849	WV

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	:	1578549879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW M FOY MD

Provider Business Mailing Address
First Line	:	25 W BLUEMONT ST
Second Line	:
City	:	GRAFTON
State	:	WV
Zip	:	26354-1242
Country	:	US
Telephone Number	:	304-265-0312
Fax Number	:	304-265-0314

Provider Business Practice Location Address
First Line	:	2604 GRANGE HALL ROAD
Second Line	:
City	:	EGLON
State	:	WV
Zip	:	26716
Country	:	US
Telephone Number	:	304-735-3155
Fax Number	:	304-735-3409

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

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	12/12/2023

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