MARK CHARLES ANDREW
NPI 1902322183
Physician Assistant - Surgical in Boston, MA
- Individual
- Male
- Physician Assistant
- Surgical
About MARK ANDREW
This page provides the complete NPI Profile along with additional information for Mark Andrew, a provider established in Boston, Massachusetts with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1902322183 assigned on August 2017. The practitioner's primary taxonomy code is 363AS0400X with license number PA6230 (MA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1902322183 Verify this NPI
- Provider Name
- MARK CHARLES ANDREW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 150 S HUNTINGTON AVE BOSTON, MA 02130
- Location Phone
- (857) 364-5795
- Mailing Address
- 21 BAY STATE RD UNIT 1 BOSTON, MA 02215
- Mailing Phone
- (612) 619-6824
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-18-2017
- Last Update Date
- 04-17-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA6230
- License State
- MA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA6230 (MA) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902322183, enumerated as an "individual" on August 18, 2017.
The provider is located at 150 S HUNTINGTON AVE BOSTON, MA 02130 and the phone number is (857) 364-5795.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
