Provider Demographics
NPI:1053363226
Name:NIGH, ANDREW D (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:D
Last Name:NIGH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:317-963-1400
Mailing Address - Fax:317-963-1453
Practice Address - Street 1:1801 N SENATE BLVD
Practice Address - Street 2:SUITE 635
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1239
Practice Address - Country:US
Practice Address - Phone:317-963-1453
Practice Address - Fax:317-963-1453
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2016-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01030399A208600000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100343050Medicaid
C25778Medicare UPIN
IN100343050Medicaid
IN222050HMedicare PIN
INP01141619Medicare PIN