MEDICARE: ANDREW MCALLISTER

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	208600000X	Surgery Physician	34.008602	OH

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	:	1982899878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW MCALLISTER

Provider Business Mailing Address
First Line	:	120 N RICHARD JACKSON BLVD
Second Line	:	STE 140
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-2522
Country	:	US
Telephone Number	:	330-328-3512
Fax Number	:

Provider Business Practice Location Address
First Line	:	2986 HARRIET RD
Second Line	:
City	:	SILVER LAKE
State	:	OH
Zip	:	44224-3862
Country	:	US
Telephone Number	:	330-328-3512
Fax Number	:

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

Provider Enumeration Date	:	09/13/2007
Last Update Date	:	10/03/2017

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Directions to “ ANDREW MCALLISTER ” Practice Location

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