Provider Demographics
NPI:1457354193
Name:BROWN, ANDREA RINGLING (PA-C)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:RINGLING
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 S AIKEN AVE
Mailing Address - Street 2:STE 507
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1521
Mailing Address - Country:US
Mailing Address - Phone:412-681-2000
Mailing Address - Fax:
Practice Address - Street 1:532 S AIKEN AVE
Practice Address - Street 2:STE 507
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1521
Practice Address - Country:US
Practice Address - Phone:412-681-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-26
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA003406L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100748598002Medicaid
PA100748598001Medicaid
PA100748598005Medicaid
PA0584900002Medicare NSC
PA100748598005Medicaid
PA0584900001Medicare NSC
PA100748598002Medicaid
PA970028510Medicare ID - Type UnspecifiedRAILROAD
PA0584900003Medicare NSC