Provider Demographics
NPI: | 1114380524 |
---|---|
Name: | SCHWARTZ, ANDREW M (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | ANDREW |
Middle Name: | M |
Last Name: | SCHWARTZ |
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: | 200 HAWKINS DR |
Mailing Address - Street 2: | |
Mailing Address - City: | IOWA CITY |
Mailing Address - State: | IA |
Mailing Address - Zip Code: | 52242-1009 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 319-356-2223 |
Mailing Address - Fax: | 319-353-6754 |
Practice Address - Street 1: | 200 HAWKINS DR |
Practice Address - Street 2: | |
Practice Address - City: | IOWA CITY |
Practice Address - State: | IA |
Practice Address - Zip Code: | 52242-1009 |
Practice Address - Country: | US |
Practice Address - Phone: | 319-356-2223 |
Practice Address - Fax: | 319-353-6754 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2016-04-02 |
Last Update Date: | 2022-08-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
GA | 008697 | 207X00000X |
IA | MD-49983 | 207X00000X, 207XX0801X, 207XS0114X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207XS0114X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery |
No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
No | 207XX0801X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Trauma |