Provider Demographics
NPI:1790782555
Name:CASH, ANDREW DAVID (DO, PC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:DAVID
Last Name:CASH
Suffix:
Gender:M
Credentials:DO, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 WAYNE AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3501
Mailing Address - Country:US
Mailing Address - Phone:724-465-4542
Mailing Address - Fax:
Practice Address - Street 1:1265 WAYNE AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3501
Practice Address - Country:US
Practice Address - Phone:724-465-4542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009493L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA010157700OtherDMERC
PA200087OtherHEALTH AMERICA/HEALTH ASS
PAP00002255OtherRAILROAD MEDICARE
PA5810516OtherAETNA
PA8904595OtherCIGNA
PA001742196OtherHIGHMARK
PA010157700OtherDMERC
PAG44226Medicare UPIN