Provider Demographics
NPI:1295774552
Name:FRANKLIN, ANDREA N (DO)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:N
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1178 ELKHORN DR
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-8126
Mailing Address - Country:US
Mailing Address - Phone:614-795-1403
Mailing Address - Fax:
Practice Address - Street 1:WESTCHESTER MEDICAL CENTER
Practice Address - Street 2:100 WOODS ROAD
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595
Practice Address - Country:US
Practice Address - Phone:914-493-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1886162085P0229X, 2085R0202X
OH340060242085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHG73084OtherOHIO UPIN
KY7100079370Medicaid
FL012316700Medicaid
MI1295774552Medicaid
OH2063421Medicaid
DC54873800Medicaid
KY7100079370Medicaid