Andrew Steven Wilt
M.D. | Pediatrics | Male
Andrew Steven Wilt, M.D. is a Johnson City, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Andrew Steven Wilt is
400 N State Of Franklin Rd, Johnson City, Tennessee - 37604-6035. He can be contacted on phone at
423-431-4847 and fax number 423-431-3949.
Andrew Steven Wilt is a sole proprietor of his business.
NPI number (Unique professional ID) for Andrew Steven Wilt is
1902168537 which was assigned by NPPES on 11 Jun, 2012 and it was last updated on 01 Jul, 2019.
Andrew Steven Wilt license number is
52834 for Pediatrics (208000000X) in Tennessee.
Andrew Steven Wilt is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Andrew Steven Wilt basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Andrew Steven Wilt |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Andrew Steven Wilt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 400 N State Of Franklin Rd
Johnson City, TN, 37604-6035
United States |
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| Phone Number : | 423-431-4847 |
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| Fax Number : | 423-431-3949 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902168537 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Jun, 2012 |
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| Last Updated On : | 01 Jul, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Andrew Steven Wilt are as mentioned. Primary taxonomy code for Andrew Steven Wilt, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | LL34830 | SC |
| 208000000X | Pediatrics | Yes | 52834 | TN |
Legacy Identifiers:
Other legacy medical identifiers of Andrew Steven Wilt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1902168537 | MEDICAID | VA | |
| Q014921 | MEDICAID | TN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
325 N. STATE OF FRANKLIN ROAD, GROUND FLOOR,
JOHNSON CITY, TN, 37604-6062
United States | JOHNSON CITY, TN | 423-439-7320 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 699
Mountain Home, TN, 37684-0699
United States |
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| Phone Number : | 423-433-6039 |
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| Fax Number : | 423-433-6060 |
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Business Location:
Patients can refer following map for directions to
Andrew Steven Wilt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.