Provider Demographics
NPI:1477595569
Name:HUGHES, ANDREW THOMAS (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:THOMAS
Last Name:HUGHES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 JACKSON PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1560
Mailing Address - Country:US
Mailing Address - Phone:740-441-1934
Mailing Address - Fax:740-446-5982
Practice Address - Street 1:90 JACKSON PIKE
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1560
Practice Address - Country:US
Practice Address - Phone:740-446-5412
Practice Address - Fax:740-446-5761
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2039207P00000X
OH34.005747207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1064824OtherWV WORK COMP
WVP00207633OtherRAILROAD MEDICARE
OH0994385Medicaid
OH000000317479OtherOHIO MEDICAID UNISON
OH0994385OtherOHIO MEDICAID MOLINA
OHP00914835OtherRAILRODA MEDICARE
WV1802459000Medicaid
OH310917085154OtherOHIO MEDICAID CARESOURCE
WV1802459000Medicaid
OH4262374Medicare PIN
OH0994385Medicaid