Provider Demographics
NPI:1760488761
Name:ANDREW, WILLIAM J (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:ANDREW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:200 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-5200
Mailing Address - Country:US
Mailing Address - Phone:513-424-1440
Mailing Address - Fax:513-424-1422
Practice Address - Street 1:200 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 160
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-5200
Practice Address - Country:US
Practice Address - Phone:513-424-1440
Practice Address - Fax:513-424-1422
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35064394207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0720596OtherJF MOLLOY
OH160056985OtherMEDICARE RAILROAD
OH9385460001OtherCIGNA
OH0225929Medicaid
OH0720596OtherUHC
OH000000275783OtherANTHEM
OH6439403OtherCHOICE CARE
OH659372OtherAETNA
OH0720596OtherJF MOLLOY
OH0225929Medicaid