MEDICARE: THOMAS J ANDREWS MD INC

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	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	G079955	CA
2	2084N0400X	Neurology Physician	G079955	CA
3	2084P0804X	Child & Adolescent Psychiatry Physician	G079955	CA
4	2084P0805X	Geriatric Psychiatry Physician	G079955	CA
5	2084P0800X	Psychiatry Physician	G079955	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1245393651	OTHER	CA	TYPE 1 NPI

General Provider Information

NPI Number	:	1588793657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS J ANDREWS MD INC

Provider Business Mailing Address
First Line	:	2891 CHURN CREEK RD
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96002-1148
Country	:	US
Telephone Number	:	530-221-7474
Fax Number	:	530-226-6329

Provider Business Practice Location Address
First Line	:	2891 CHURN CREEK RD
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96002-1148
Country	:	US
Telephone Number	:	530-221-7474
Fax Number	:	530-226-6329

Authorized Official
Title or Position	:	OWNER, MEDICAL DIRECTOR
Name	:	DR. THOMAS JAMES ANDREWS
Credential	:	M.D.
Telephone Number	:	530-221-7474

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	06/17/2010

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Directions to “THOMAS J ANDREWS MD INC ” Practice Location

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