Provider Demographics
NPI:1306885199
Name:ANDREWS, DANA H (MD, MHSA)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:H
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD, MHSA
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:HAROLD
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD MHSA
Mailing Address - Street 1:7301 MARIST LN
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-1265
Mailing Address - Country:US
Mailing Address - Phone:419-564-1002
Mailing Address - Fax:
Practice Address - Street 1:5900 PARKWOOD PLACE STE 100
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-1216
Practice Address - Country:US
Practice Address - Phone:614-794-4500
Practice Address - Fax:614-794-4976
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.066822207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0983422Medicaid
OH0983422Medicaid
OHAN0762824Medicare PIN
OH110109651OtherRAILROAD MEDICARE
OH1062950001OtherDMPOS NUMBER
OHAN0762824Medicare ID - Type UnspecifiedPALMETTO GBA