Individual provider Active NPI

William J Andrew, MD

  • Obstetrics & Gynecology Physician
  • Franklin, OH
National Provider Identifier
1760488761
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35064394 Issued in OH
Practice address
200 Medical Center Dr
Suite 160
Franklin, OH 45005-5200
Phone
(513) 424-1440
Fax
(513) 424-1422
NPI assigned
Jun 23, 2005
Last updated
Aug 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35064394 OH Primary

Addresses

Primary practice location

200 Medical Center Dr
Suite 160
Franklin, OH 45005-5200

Mailing address

200 Medical Center Dr
Suite 160
Franklin, OH 45005-5200
Phone (513) 424-1440

Other identifiers 8

IdentifierTypeStateIssuer
160056985OtherOHMEDICARE RAILROAD
0720596OtherOHJF MOLLOY
000000275783OtherOHANTHEM
0225929MedicaidOH
9385460001OtherOHCIGNA
0720596OtherOHUHC
6439403OtherOHCHOICE CARE
659372OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120228000496 OH Practitioner - Obstetrics/Gynecology 9335211010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilltop Obstetrics and Gynecology, Inc.Group PAC ID 7517990898, 10 clinicians
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr
Suite 160
Middletown, OH 45005-2593
Phone (513) 424-1440

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

7117 Dutchland Pkwy
Liberty Township, OH 45044-9096
Phone (513) 770-2797

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35064394OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc Obstetrics & Gynecology CurrentSince Apr 14, 2015 Accepting new patients
Hilltop Obstetrics & Gynecology, Inc. Obstetrics & Gynecology CurrentSince Jan 1, 1995 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 14, 2015 Accepting new patients
Atrium Medical Center Past Accepting new patients

Locations

990 Belvedere Dr
Ste C
Lebanon, OH 45036

103 McKnight Dr
Ste A
Middletown, OH 45044
Phone (513) 424-1440

200 Medical Center Dr
Ste 160
Middletown, OH 45005
Phone (513) 424-1440

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Atrium Medical CenterMiddletown, OH, CCN 360076 Hospital Corporate Director Jan 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1760488761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 160",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450055200",
            "telephone_number": "513-424-1440",
            "fax_number": "513-424-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "SUITE 160",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450055200",
            "telephone_number": "513-424-1440",
            "fax_number": "513-424-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35064394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160056985",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JF MOLLOY",
            "identifier": "0720596",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000275783",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225929",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9385460001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0720596",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE",
            "identifier": "6439403",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "659372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, OH

Sources for this page

Verify at the official NPI Registry.