Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 34004365G | OH |
NPI | 1003809088 |
---|---|
Provider Name | Andrew Carrington Gombash |
First Address | Chillicothe, OH 45601-1104 |
Second Address | Chillicothe, OH 45601-1104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 07/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000260293 | ANTHEM (01) | OH |
0109967 | UNITED HEALTHCARE (01) | |
0146765 | (05) | OH |
311155352 | AETNA (01) | |
311155352 | CENTRAL BENEFITS (01) | |
311155352 | CIGNA (01) | |
311155352 | EMERALD HEALTH (01) | |
311155352 | EV BENEFITS (01) | |
311155352 | GREAT WEST (01) | |
311155352 | MEDIGOLD (01) | OH |
311155352 | NATIONWIDE INS. (01) | |
311155352 | OHIO HEALTH CHOICE (01) | |
311155352 | PPO NEXT (01) | |
311155352001 | TRICARE (01) | |
E00736 | (02) |