Provider Demographics
NPI:1740207760
Name:TOWNSEND, ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:TOWNSEND
Suffix:
Gender:
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:PO BOX 632476
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2476
Mailing Address - Country:US
Mailing Address - Phone:423-794-5540
Mailing Address - Fax:423-926-3187
Practice Address - Street 1:301 MED TECH PKWY STE 180
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2651
Practice Address - Country:US
Practice Address - Phone:423-794-5540
Practice Address - Fax:423-926-3187
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD28174208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
5059588OtherAETNA
753041010OtherCHAMPUS
753041010OtherCHOICE CARE
753041010OtherINITIAL GROUP
4051821OtherUSA
753041010OtherFIRST HEALTH
753041010OtherBEECH STREET
100041325OtherPHP TENNCARE
702023819OtherPHP COMMERCIAL
753041010OtherCORVEL
1240931OtherUNITED HEALTHCARE
TN4146624OtherBCBST
753041010OtherPHCS
TN0105OtherTENNCARE
TN3496644Medicaid
753041010OtherONE HEALTH
TN0105OtherJOHN DEERE COMM