1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Physician Assistant
  6. NPI Profile

MR. ANDREW WALTER DOUGLAS RPA-C
NPI 1649335274
Physician Assistant - Surgical in Bronx, NY

Active since December 26, 2006
3RD AVE AND 183RD STR, BRONX, NY 10457(718) 960-9000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Andrew Walter Douglas Rpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDREW WALTER DOUGLAS RPA-C (NPI 1649335274) is an individual surgical provider in Bronx, New York, licensed in New York (011617) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1649335274
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ANDREW WALTER DOUGLASCredential: RPA-C
Location Address3RD AVE AND 183RD STRBronx, NY 10457-2594
Mailing Address304 W 148th St, Apt 2aNew York, NY 10039-2915 · (570) 660-7085
Phone(718) 960-9000
Sole ProprietorNo
Enumeration DateDecember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649335274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 011617
3RD AVE AND 183RD STR, Bronx, NY 10457
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Douglas's NPI number?

The NPI number for Andrew Douglas is 1649335274. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Andrew Douglas located?

Andrew Douglas practices at 3rd Ave And 183rd Str, Bronx, NY 10457. The listed phone number is (718) 960-9000.

What is Andrew Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Andrew Douglas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.