1306885199 NPI number — DANA H ANDREWS MD, MHSA

Table of content: DANA H ANDREWS MD, MHSA (NPI 1306885199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306885199 NPI number — DANA H ANDREWS MD, MHSA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANDREWS
Provider First Name:
DANA
Provider Middle Name:
H
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD, MHSA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ANDREWS
Provider Other First Name:
DANA
Provider Other Middle Name:
HAROLD
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD. MHSA
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1306885199
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7301 MARIST LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUBLIN
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43017-1265
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-564-1002
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5900 PARKWOOD PLACE STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUBLIN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43016-1216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-794-4500
Provider Business Practice Location Address Fax Number:
614-794-4976
Provider Enumeration Date:
06/06/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0300X , with the licence number:  35.066822 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0983422 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".