Provider Demographics
NPI:1982699492
Name:COMBS, ANDREW HICKS (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:HICKS
Last Name:COMBS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12315 HANCOCK ST STE 24
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5885
Mailing Address - Country:US
Mailing Address - Phone:317-708-3732
Mailing Address - Fax:888-316-7962
Practice Address - Street 1:17300 WESTFIELD BLVD STE 330
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-1363
Practice Address - Country:US
Practice Address - Phone:317-708-3732
Practice Address - Fax:888-316-7962
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01034601A207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000764485OtherANTHEM
IN100341080AMedicaid
INP01134236OtherMEDICARE RAILROAD
INP01134236OtherMEDICARE RAILROAD
IN000000764485OtherANTHEM
IN339870BMedicare ID - Type Unspecified