Active NPI
Peter J Andrews, MD
- Surgery Physician
- Kingston, PA
National Provider Identifier
1730137746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD036764E
- Practice address
- 540 Pierce St
Kingston, PA 18704-5751 - Phone
- (570) 287-2700
- Fax
- (570) 287-1570
- NPI assigned
- May 4, 2006
- Last updated
- Apr 22, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD036764E | PA | Primary |
Addresses
Primary practice location
540 Pierce St
Kingston, PA 18704-5751
Mailing address
540 Pierce St
Kingston, PA 18704-5751
Phone (570) 287-2700
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158005 | Other | PA | HEALTH AMERICA |
| F08781 | Other | PA | STERLING OPTION 1 |
| 2793627 | Other | PA | AETNA |
| 16458 | Other | PA | GEISINGER HEALTH PLAN |
| AN701080 | Other | PA | HIGHMARK BLUE SHIELD |
| 0012841500004 | Medicaid | PA | |
| 814560 | Other | FIRST PRIORITY HEALTH |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1730137746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 PIERCE ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045751",
"telephone_number": "570-287-2700",
"fax_number": "570-287-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 PIERCE ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045751",
"telephone_number": "570-287-2700",
"fax_number": "570-287-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "PETER",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD036764E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "158005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STERLING OPTION 1",
"identifier": "F08781",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2793627",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "16458",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "AN701080",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012841500004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "814560",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.