Provider Demographics
NPI: | 1265018956 |
---|---|
Name: | BARRINGER, ANDREW (DO) |
Entity type: | Individual |
Prefix: | DR |
First Name: | ANDREW |
Middle Name: | |
Last Name: | BARRINGER |
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: | 9069 W OLIVE AVE SUITE 111 |
Mailing Address - Street 2: | #211 |
Mailing Address - City: | PEORIA |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85345-5059 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 19829 N 27TH AVE |
Practice Address - Street 2: | |
Practice Address - City: | PHOENIX |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85027-4001 |
Practice Address - Country: | US |
Practice Address - Phone: | 623-683-0142 |
Practice Address - Fax: | 623-879-1563 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2021-03-22 |
Last Update Date: | 2025-01-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AZ | 010167 | 208D00000X, 208M00000X, 207R00000X |
390200000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
No | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | |
No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |