NPIMap

Organization Active NPI

Patrick J McAndrew PC

  • Family Medicine Physician
  • Vandling, PA
National Provider Identifier
1578621322
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05009640L Issued in PA
Legal business name
PATRICK J MCANDREW PC
Practice address
111 Main St
Vandling, PA 18421-1711
Phone
(570) 785-3194
Fax
(570) 785-9775
NPI assigned
Dec 5, 2006
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Matthew Curtis Haley, DO
Title
President
Phone
(570) 785-3194

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05009640L PA Primary
General Practice Physician 208D00000X 05002860L PA

Addresses

Primary practice location

111 Main St
Vandling, PA 18421-1711

Mailing address

111 Main St
Vandling, PA 18421-1711
Phone (570) 785-3194

Other identifiers 4

IdentifierTypeStateIssuer
002912OtherPAFIRST PRIORITY
00686447MedicaidPA
51793OtherPAGEISINGER
01703829MedicaidPA

Other names 1

  • McAndrew & Haley PC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1578621322",
    "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 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-785-3194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "05009640L",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "05002860L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "002912",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00686447",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "51793",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01703829",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McAndrew & Haley PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vandling, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.