Patrick J McAndrew, D.O. PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS002860L Issued in PA

Legal business name

PATRICK J MCANDREW, D.O. PC

Practice address

111 Main St
Vandling, PA 18421-1711

Phone

(570) 785-3194

Fax

(570) 785-9775

NPI assigned

Dec 4, 2007

Last updated

Dec 12, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patrick J McAndrew, D.O.

Title

President

Phone

(570) 785-3194

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1417139213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "city": "VANDLING",
            "state": "PA",
            "postal_code": "184211711",
            "telephone_number": "570-785-3194",
            "fax_number": "570-785-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST",
            "city": "VANDLING",
            "state": "PA",
            "postal_code": "184211711",
            "telephone_number": "570-785-3194",
            "fax_number": "570-785-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J MCANDREW, D.O. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "MCANDREW",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-785-3194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS002860L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "002912",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "147451",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "51793",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00686447",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M Bolick-Bonin, PA
• Tammy Lynn Carlson, OD
• Amanda Anne Lavin
• Patrick J McAndrew PC
• T L C Family Eye Care Inc

• General Practice Physician in Vandling, PA
• Providers in Vandling, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.