Provider Demographics
NPI:1518938786
Name:SHAER, ANDREA J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:J
Last Name:SHAER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 BELMONT AVE.
Mailing Address - Street 2:STE. 2300
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44504-1191
Mailing Address - Country:US
Mailing Address - Phone:330-746-1488
Mailing Address - Fax:330-746-5611
Practice Address - Street 1:1340 BELMONT AVE.
Practice Address - Street 2:STE. 2300
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44504-1191
Practice Address - Country:US
Practice Address - Phone:330-746-1488
Practice Address - Fax:330-746-5611
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35086118207RN0300X
PAMD420506207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101101388002Medicaid
OH2604613Medicaid
OHSH4171801Medicare ID - Type Unspecified
PA101101388002Medicaid
OH2604613Medicaid