William Christopher Andrus, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA062241 Issued in PA

Practice address

308 Student Health Ctr
University Park, PA 16802-2129

Phone

(814) 865-4847

NPI assigned

Feb 22, 2007

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1902931074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 STUDENT HEALTH CTR",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168022129",
            "telephone_number": "814-865-4847",
            "fax_number": "814-865-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 STUDENT HEALTH CTR",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168022129",
            "telephone_number": "814-865-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUS",
        "first_name": "WILLIAM",
        "middle_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA062241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luciano Domenico Alonzi
• Jenny Ora Anand, RN
• Karen M Anderson, MD
• Zachary Angell
• Shane Jeffrey Angle
• Matthew Armistead, LAT, ATC
• Peter Andrew Arnett
• Sandra T. Azar, PHD

• Medical Physician Assistant in University Park, PA
• Providers in University Park, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.