Provider Demographics
NPI:1255328845
Name:ANDREWS, STEPHEN J (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:J
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:161 N FORGE ST
Mailing Address - Street 2:SUITE 298
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1468
Mailing Address - Country:US
Mailing Address - Phone:330-379-3514
Mailing Address - Fax:330-379-9211
Practice Address - Street 1:161 N FORGE ST
Practice Address - Street 2:SUITE 298
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1468
Practice Address - Country:US
Practice Address - Phone:330-379-3514
Practice Address - Fax:330-379-9211
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2011-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35056479207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAN0882131OtherMEDICARE ID
OH2134176Medicaid
OH0882138OtherMEDICARE ID
OH0882138OtherMEDICARE ID