Provider Demographics
NPI:1003880352
Name:KRICK, ANDREW E (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:E
Last Name:KRICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 FARM LN
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4732
Mailing Address - Country:US
Mailing Address - Phone:215-348-3990
Mailing Address - Fax:215-348-7705
Practice Address - Street 1:310 FARM LANE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4732
Practice Address - Country:US
Practice Address - Phone:215-348-3990
Practice Address - Fax:215-348-7705
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD017380E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000635564Medicaid
PA0006355640003Medicaid
007302OtherMANAGED CARE
21198960001OtherKEYSTONE HLTHPLAN EAST 65
2119896001OtherAMERIHEALTH HMO
4708888939OtherFIRST HEALTH
4708888939OtherCCN
470888939OtherINTERCOUNTY
0001435061OtherPENNSYLVANIA BLUE SHIELD
2119896001OtherAMERIHEALTH ADMINISTRATOR
007302OtherAETNA PPO
1058232OtherKEYSTONE MERCY HEALTHPLAN
0001435061OtherPERSONAL CHOICE
007302OtherAETNA
21198960001OtherKEYSTONE HEALTH PLAN EAST
21198960001OtherKEYSTONE LIAISON
0001435061OtherPERSONAL CHOICE 65
4708888939OtherDEVON
PC0140OtherHEALTH NET
2119896001OtherAMERIHEALTH HMO
PA000635564Medicaid
0001435061OtherPERSONAL CHOICE 65