Robert A Andreozzi, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD123456E Issued in PA

Practice address

845 Norman Dr
Lebanon, PA 17042-7445

Phone

(717) 273-8091

Fax

(717) 273-9081

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Associates of Lebanon LTD

  • Specialist
  • Lebanon, PA
  • NPI 1245202076
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2014.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1467450445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427445",
            "telephone_number": "717-273-8091",
            "fax_number": "717-273-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427445",
            "telephone_number": "717-273-8091",
            "fax_number": "717-273-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREOZZI",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD123456E",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "PA",
            "license": "MD014933E",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD014933E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY INS PROVIDER #",
            "identifier": "1520325",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP BC IND PROVIDER NUMBE",
            "identifier": "01694001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006094390001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "178115HE5",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS IND PROVIDER NUMBER",
            "identifier": "178115",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anchored Self
• Josh Tyler Anderson, D.P.T.
• Lauren Anderson
• Lindsay Anderson
• Noble Davis Anderson, DMD
• Teresa Marie Angel, CRNP-BC
• Charles Anspach, MALMFT
• Zainab Anwar
• Jay Arenas
• Katie M Arendash, AU.D.

• All providers in Lebanon, PA
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.