Provider Demographics
NPI:1346208972
Name:ANDROKITES, ARTHUR T (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:T
Last Name:ANDROKITES
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 1:505 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:15697-1559
Mailing Address - Country:US
Mailing Address - Phone:724-832-6911
Mailing Address - Fax:724-832-9623
Practice Address - Street 1:505 N 4TH ST
Practice Address - Street 2:
Practice Address - City:YOUNGWOOD
Practice Address - State:PA
Practice Address - Zip Code:15697-1559
Practice Address - Country:US
Practice Address - Phone:724-832-9611
Practice Address - Fax:724-832-9623
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036739E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001195855Medicaid
PA156849Medicare PIN
PA001195855Medicaid
PA156849OtherHIGHMARK
E12947Medicare UPIN