Michael G. Andrews, D.O.
Individual provider Active NPI Pediatrics Physician · McMinnville, TN
NPI 1336183227 · NPPES record last updated Aug 25, 2011
Key facts
- NPI
- 1336183227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 1768 (TN)
- Practice address
- 236 E Main St
Pioneer Pediatrics, PLLC
McMinnville, TN 37110-2508 - Phone
- (931) 815-5437
- Fax
- (931) 507-5440
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1768 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Pediatrics, PLLC | Pediatrics | Past | Accepting new patients |
| Saint Thomas River Park Hospital, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1768 | TN | Yes |
Addresses
Primary practice location
236 E Main St
Pioneer Pediatrics, PLLC
McMinnville, TN 37110-2508
Mailing address
236 E Main St
Pioneer Pediatrics, PLLC
McMinnville, TN 37110-2508
Phone (931) 815-5437
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All providers in McMinnville, TN · Pediatrics Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.