Provider Demographics
NPI:1801867114
Name:RHINEHART, ANDREW S (MD, FACP, CDE)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:S
Last Name:RHINEHART
Suffix:
Gender:M
Credentials:MD, FACP, CDE
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 3700
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37602-3700
Mailing Address - Country:US
Mailing Address - Phone:423-952-2122
Mailing Address - Fax:423-952-2145
Practice Address - Street 1:16000 JOHNSTON MEMORIAL DR
Practice Address - Street 2:SUITE 313
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-7659
Practice Address - Country:US
Practice Address - Phone:276-258-3780
Practice Address - Fax:276-258-3776
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101052144207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3079377Medicaid
VAP01034666OtherRR MEDICARE
VA1801867114Medicaid
VA1801867114Medicaid
VAP01034666OtherRR MEDICARE
VAVV2597AMedicare PIN
TN3079377Medicaid