Provider Demographics
NPI:1932293594
Name:ANDREWS, JOSEPH JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
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 1:87 EAST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18705-2811
Mailing Address - Country:US
Mailing Address - Phone:570-821-1982
Mailing Address - Fax:570-826-6989
Practice Address - Street 1:87 EAST MAIN ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18705-2811
Practice Address - Country:US
Practice Address - Phone:570-821-1982
Practice Address - Fax:570-826-6989
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051169L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA087327800OtherINDEPENDENCE BLUE SHIELD
PA1145631OtherAMERIHEALTH MERCY
PA16910 5144OtherGEISINGER HEALTH PLAN
PA75462OtherTHREE RIVERS
PA335775OtherHEALTH ASSURANCE
PA840505OtherHIGHMARK BLUE SHIELD
PA840505OtherFIRST PRIORITY LIFE INSURANCE
PA01572861Medicaid
PA800857OtherFIRST PRIORITY HEALTH
PA569006OtherAETNA US HEALTHCARE
PA569006OtherAETNA
PA335775OtherHEALTH ASSURANCE
PA569006OtherAETNA
PA75462OtherTHREE RIVERS