Provider Demographics
NPI:1821196825
Name:ANDREWS, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:ANDREWS
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 1:300 LOCUST ST
Mailing Address - Street 2:SUITE 560
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1809
Mailing Address - Country:US
Mailing Address - Phone:330-434-5341
Mailing Address - Fax:330-434-1403
Practice Address - Street 1:300 LOCUST ST
Practice Address - Street 2:SUITE 560
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1809
Practice Address - Country:US
Practice Address - Phone:330-434-5341
Practice Address - Fax:330-434-1403
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.060630174400000X
MT508242086S0120X
OH350606302086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0811625Medicaid
OH0811625Medicaid
OHAE37844Medicare UPIN