Provider Demographics
NPI:1821709718
Name:ANDREW, PEIGHTON (PA-C)
Entity Type:Individual
Prefix:
First Name:PEIGHTON
Middle Name:
Last Name:ANDREW
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:PEIGHTON
Other - Middle Name:
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6136 BLUFF ACRES DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-9033
Mailing Address - Country:US
Mailing Address - Phone:317-652-2244
Mailing Address - Fax:
Practice Address - Street 1:2085 ACORN BLVD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-7306
Practice Address - Country:US
Practice Address - Phone:317-346-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10004162A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant