Provider Demographics
NPI:1891755591
Name:FILIATRAUT, ANDREW ZEPHERE (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ZEPHERE
Last Name:FILIATRAUT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26908 DETROIT RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2398
Mailing Address - Country:US
Mailing Address - Phone:440-617-1823
Mailing Address - Fax:440-617-0884
Practice Address - Street 1:2535 HALE ST
Practice Address - Street 2:SUITE
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1856
Practice Address - Country:US
Practice Address - Phone:440-934-8810
Practice Address - Fax:440-934-8811
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34008276207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2659529Medicaid
OH34008276OtherLICENSE #
OH34008276OtherLICENSE #
OHBF8829840OtherDEA #
OH4181956Medicare PIN
OH4181954Medicare PIN
OH34008276OtherLICENSE #
OH4181955Medicare PIN
OH4181953Medicare PIN