Provider Demographics
NPI:1740207760
Name:TOWNSEND, ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:TOWNSEND
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:PO BOX 3889
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37602-3889
Mailing Address - Country:US
Mailing Address - Phone:423-794-2457
Mailing Address - Fax:423-283-9480
Practice Address - Street 1:301 MED TECH PKWY STE 180
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2651
Practice Address - Country:US
Practice Address - Phone:423-794-5540
Practice Address - Fax:423-926-3187
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD28174208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
753041010OtherCORVEL
753041010OtherPHCS
1240931OtherUNITED HEALTHCARE
4051821OtherUSA
TN4146624OtherBCBST
753041010OtherCHOICE CARE
753041010OtherCHAMPUS
753041010OtherINITIAL GROUP
753041010OtherONE HEALTH
702023819OtherPHP COMMERCIAL
100041325OtherPHP TENNCARE
753041010OtherFIRST HEALTH
TN0105OtherJOHN DEERE COMM
5059588OtherAETNA
753041010OtherBEECH STREET
TN3496644Medicaid
TN0105OtherTENNCARE