Individual provider Active NPI

Andrew Williamson, D.C.

  • Chiropractor
  • Mount Airy, MD
National Provider Identifier
1740455401
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01985 Issued in MD
Practice address
603 E Ridgeville Blvd
Mount Airy, MD 21771-5249
Phone
(301) 829-4040
Fax
(301) 829-4041
NPI assigned
Apr 24, 2008
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01985 MD Primary

Addresses

Primary practice location

603 E Ridgeville Blvd
Mount Airy, MD 21771-5249

Mailing address

603 E. Ridgeville Blvd
Mt. Airy, MD 21771
Phone (301) 829-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120501000464 MD Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 4385657501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1740455401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E. RIDGEVILLE BLVD",
            "city": "MT. AIRY",
            "state": "MD",
            "postal_code": "21771",
            "telephone_number": "301-829-4040",
            "fax_number": "301-829-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E RIDGEVILLE BLVD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715249",
            "telephone_number": "301-829-4040",
            "fax_number": "301-829-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ANDREW",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

Verify at the official NPI Registry.