Active NPI
Andrew Peter Proto
- Student in an Organized Health Care Education/Training Program
- Marietta, OH
National Provider Identifier
1790360196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 319 Colegate Dr
Marietta, OH 45750-9558 - Phone
- (740) 374-7060
- NPI assigned
- Mar 17, 2021
- Last updated
- Mar 17, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
319 Colegate Dr
Marietta, OH 45750-9558
Mailing address
5800 3Rd Ave
Brooklyn, NY 11220-3702
Phone (646) 801-0039
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1790360196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203702",
"telephone_number": "646-801-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 COLEGATE DR",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457509558",
"telephone_number": "740-374-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROTO",
"first_name": "ANDREW",
"middle_name": "PETER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-17",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, OH
- Susan E Presseau, MD
- Haley Pressley
- Private Healthcare Facilities
- Procare Vision Center, LLC
- Gabrielle Prokop, M.D.
- Lisa Ann Provost, CRNA
- Young-Mi Pruden, M.D.
- Alexander Nathan Pyles, CDCA
- Quality Care Associates Urgent Care and Wellness Center, LLC
- Quality Care Associates Urgent Care and Wellness Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.