Provider Demographics
NPI:1578549879
Name:FOY, ANDREW M (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:M
Last Name:FOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:25 W BLUEMONT ST
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WV
Mailing Address - Zip Code:26354-1242
Mailing Address - Country:US
Mailing Address - Phone:304-265-0312
Mailing Address - Fax:304-265-0314
Practice Address - Street 1:2604 GRANGE HALL ROAD
Practice Address - Street 2:
Practice Address - City:EGLON
Practice Address - State:WV
Practice Address - Zip Code:26716
Practice Address - Country:US
Practice Address - Phone:304-735-3155
Practice Address - Fax:304-735-3409
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD63335207Q00000X
WV21849207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810003975Medicaid
I40759Medicare UPIN
WV2026724Medicare PIN
WV2026722Medicare PIN
WVP00660107Medicare PIN
WV2026721Medicare PIN
WV3810003975Medicaid