Provider Demographics
NPI:1750428587
Name:ANDREWS, JOHN SCOTT JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SCOTT
Last Name:ANDREWS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10256 STABLEHAND DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4639
Mailing Address - Country:US
Mailing Address - Phone:513-556-6016
Mailing Address - Fax:513-556-6655
Practice Address - Street 1:RICHARD E LINDNER CTR
Practice Address - Street 2:2751 O'VARSITY WAY
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45221-0010
Practice Address - Country:US
Practice Address - Phone:513-556-6016
Practice Address - Fax:513-556-6655
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-050422207R00000X
GA0247752083X0100X
MN232302083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
84BBBDXMedicare ID - Type Unspecified
GAG06241Medicare UPIN