Active NPI
Andrew Thomas Hughes, DO
- Emergency Medicine Physician
- Gallipolis, OH
National Provider Identifier
1477595569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34.005747
- Practice address
- 90 Jackson Pike
Gallipolis, OH 45631-1560 - Phone
- (740) 446-5412
- Fax
- (740) 446-5761
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2039 | WV | |
| Emergency Medicine Physician | 207P00000X | 34.005747 | OH | Primary |
Addresses
Primary practice location
90 Jackson Pike
Gallipolis, OH 45631-1560
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 441-1934
Other practice location 1
921 E Franklin St
Kenton, OH 43326-2020
Phone (419) 673-0761
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1064824 | Other | WV | WV WORK COMP |
| P00207633 | Other | WV | RAILROAD MEDICARE |
| 0994385 | Medicaid | OH | |
| 000000317479 | Other | OH | OHIO MEDICAID UNISON |
| 0994385 | Other | OH | OHIO MEDICAID MOLINA |
| P00914835 | Other | OH | RAILRODA MEDICARE |
| 1802459000 | Medicaid | WV | |
| 310917085154 | Other | OH | OHIO MEDICAID CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2039 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestpractices of West Virginia, Inc. | Emergency Medicine | Past | Accepting new patients |
| JTDM Family Practice LLC | Past | Accepting new patients | |
| Emergency Medicine Physicians of Richland County, LTD | Emergency Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Springfield Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1477595569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-441-1934",
"fax_number": "740-446-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-446-5412",
"fax_number": "740-446-5761"
}
],
"practiceLocations": [
{
"address_1": "921 E Franklin St",
"address_purpose": "LOCATION",
"city": "Kenton",
"state": "OH",
"postal_code": "433262020",
"country_code": "US",
"telephone_number": "419-673-0761",
"fax_number": "419-673-1097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUGHES",
"first_name": "ANDREW",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "2039",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.005747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV WORK COMP",
"identifier": "1064824",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00207633",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0994385",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID UNISON",
"identifier": "000000317479",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID MOLINA",
"identifier": "0994385",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRODA MEDICARE",
"identifier": "P00914835",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1802459000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO MEDICAID CARESOURCE",
"identifier": "310917085154",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.