Provider Demographics
NPI:1205836657
Name:PIERING, ANDREW W (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:W
Last Name:PIERING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1312 PROFESSIONAL BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-8007
Mailing Address - Country:US
Mailing Address - Phone:812-491-6419
Mailing Address - Fax:812-491-6465
Practice Address - Street 1:350 W COLUMBIA ST
Practice Address - Street 2:SUITE 440
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1782
Practice Address - Country:US
Practice Address - Phone:812-425-2461
Practice Address - Fax:812-424-7254
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2015-05-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN1050681207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200232290Medicaid
KY392108OtherMEDICARE
1004921OtherCHAMPUS
IN390006173OtherRAILROAD MEDICARE
5099727OtherAETNA
KY64003411Medicaid
KY86201OtherCOVENTRY CARE
KY601618OtherWELLCARE
IN637060HOtherMEDICARE
5099727OtherAETNA