Provider Demographics
NPI:1144281577
Name:GILCHRIST, ANDREW (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:GILCHRIST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 CENTENNIAL LOOP STE C
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-7913
Mailing Address - Country:US
Mailing Address - Phone:541-515-7900
Mailing Address - Fax:866-521-4035
Practice Address - Street 1:244 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-515-7900
Practice Address - Fax:866-521-4035
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD20671207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR858463001OtherBCBS-MEDFORD
ORP00102805OtherRR MEDICARE
OR858464017OtherBCBS-SPRINGFIELD
ORP00102805OtherRAIL ROAD MEDICARE
OR838334003OtherBCBS-ROSEBURG
OR150497Medicaid
ORR118383Medicare PIN
ORP00102805OtherRAIL ROAD MEDICARE
OR858464017OtherBCBS-SPRINGFIELD
ORP00102805OtherRR MEDICARE