Provider Demographics
NPI:1932108925
Name:DANCHA, ANDREW JOSEPH (DO)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JOSEPH
Last Name:DANCHA
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 1:5706 GLADES PIKE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-8302
Mailing Address - Country:US
Mailing Address - Phone:814-444-1309
Mailing Address - Fax:814-444-0394
Practice Address - Street 1:5706 GLADES PIKE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-8302
Practice Address - Country:US
Practice Address - Phone:814-444-1309
Practice Address - Fax:814-444-0394
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007173L207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP158725OtherOXFORD HEALTH PLAN
PA019671OtherBLUE SHIELD OF PA
PA002696OtherFIRST PRIORITY HEALTH
PA390004170OtherRAILROAD MEDICARE INDIV.
PA019671LPSMedicare ID - Type UnspecifiedMEDICARE INDIV.NUMBER
PAF24269Medicare UPIN
PA03198801OtherCAPTIAL BLUE CROSS
PA001415725Medicaid