1124137047 NPI number — ANDREW D. CASH, D.O., P.C.

Table of content: (NPI 1124137047)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124137047 NPI number — ANDREW D. CASH, D.O., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANDREW D. CASH, D.O., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124137047
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1265 WAYNE AVE STE 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15701-3501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-465-4542
Provider Business Mailing Address Fax Number:
724-465-2261

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1265 WAYNE AVE STE 207
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15701-3501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-465-4542
Provider Business Practice Location Address Fax Number:
724-465-2261
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CASH
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
DAVID
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
724-465-4542

Provider Taxonomy Codes

  • Taxonomy code: 173000000X , with the licence number:  OS009493L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0016489970005 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 202999 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 200087 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1527671 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 8904595 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P00002255 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5810516 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 75427 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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