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Contact Information

ANDREW T MCDONALD, MD
1725 N 5TH ST
TERRE HAUTE, IN47804-4010
 Phone: 812-242-3005
 Fax: 812-242-3054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ANDREW T MCDONALD · (Male)

NPI Number 1972618775
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 04/13/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 36113741
  • IN License # 01062210A
  • IN Medicaid 200826590
  • IN Medicaid 351904269250
  • IN Medicaid N357972
  • Other 7037789 AETNA
  • Other 000000481762 ANTHEM
  • Other 5055772 CIGNA
  • Other P00360017 RAILROAD MEDICARE PALAMET
  • Other 351904269E SAGAMORE
  • IN Other P00866719 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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