Basic Information
Provider Information | |||||||||
NPI: | 1235287772 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | ANDREWS | ||||||||
FirstName: | CHRISTOPHER | ||||||||
MiddleName: | SCOTT | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 785 5TH AVENUE | ||||||||
Address2: | SUITE 3 | ||||||||
City: | CHAMBERSBURG | ||||||||
State: | PA | ||||||||
PostalCode: | 172014232 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7172639555 | ||||||||
FaxNumber: | 7172174217 | ||||||||
Practice Location | |||||||||
Address1: | 601 E MAIN ST | ||||||||
Address2: |   | ||||||||
City: | WAYNESBORO | ||||||||
State: | PA | ||||||||
PostalCode: | 172682332 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7177655060 | ||||||||
FaxNumber: | 7177626929 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/08/2007 | ||||||||
LastUpdateDate: | 06/16/2017 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD429203 | PA | Y |   | Allopathic & Osteopathic Physicians | Surgery |   |
ID Information
ID | Type | State | Issuer | Description | 6720536 | 01 | PA | AETNA HMO | OTHER | MD429203 | 01 | PA | LICENSE | OTHER | 1582438 | 01 | PA | GATEWAY | OTHER | 257732 | 01 | PA | UNISON | OTHER | 7483481 | 01 |   | MAMSI LIFE & HEALTH | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL | OTHER | T5100007 | 01 | MD | CAREFIRST BC/BS | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 7080932 | 01 | PA | AETNA NON HMO | OTHER | FA0066375 | 01 | PA | DEA | OTHER | P00397768 | 01 |   | MEDICARE RAILROAD | OTHER | 1018937260001 | 05 | PA |   | MEDICAID | 25-1716306 | 01 | PA | INFORMED | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | AN1933935 | 01 | PA | BLUE SHIELD | OTHER | P00700649 | 01 | PA | RAILROAD MEDICARE | OTHER | 25-1716306 | 01 | PA | HEALTH AMERICA | OTHER | 25-1716306 | 01 | PA | FIRST HEALTH | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 50068222 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | 90157101 | 01 | MD | CAREFIRST BC/BS | OTHER | 120420403 | 01 | PA | DEPT OF LABOR | OTHER | 1458888 | 01 |   | AETNA | OTHER | 1933935 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 2191226 | 01 | PA | UNITED HEALTH CARE (MAMSI) | OTHER | 25-1716306 | 01 | PA | GREATWEST | OTHER |