Provider Demographics
NPI: | 1689652760 |
---|---|
Name: | ANDREWS, DANIEL FLOYD (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | DANIEL |
Middle Name: | FLOYD |
Last Name: | ANDREWS |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 1915 FAIRGROVE CHURCH RD |
Mailing Address - Street 2: | |
Mailing Address - City: | NEWTON |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28658-8531 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 828-468-3980 |
Mailing Address - Fax: | 828-464-2845 |
Practice Address - Street 1: | 1915 FAIRGROVE CHURCH RD |
Practice Address - Street 2: | |
Practice Address - City: | NEWTON |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28658-8531 |
Practice Address - Country: | US |
Practice Address - Phone: | 828-468-3980 |
Practice Address - Fax: | 828-464-2845 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-01-09 |
Last Update Date: | 2016-02-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 2005-01466 | 207R00000X, 207RC0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NC | 5901670 | Medicaid | |
NC | 2045515 | Medicare PIN | |
NC | E18587 | Medicare UPIN |