Basic Information
| Provider Information | |||||||||
| NPI: | 1073855169 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WINSLOW | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3333 BURNET AVE | ||||||||
| Address2: | ML2000 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452293026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136366771 | ||||||||
| FaxNumber: | 5136365835 | ||||||||
| Practice Location | |||||||||
| Address1: | 2765 CHAPEL PL | ||||||||
| Address2: | |||||||||
| City: | CRESTVIEW HILLS | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410173413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593445390 | ||||||||
| FaxNumber: | 8592828039 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2013 | ||||||||
| LastUpdateDate: | 10/10/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 2020-00380 | NC | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 01087582A | IN | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 35.144618 | OH | N | Allopathic & Osteopathic Physicians | Pediatrics | 207KA0200X | 49260 | KY | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy | 207KA0200X | 01087582A | IN | N | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy | 207KA0200X | 2020-00380 | NC | N | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy | 208000000X | 49260 | KY | N | Allopathic & Osteopathic Physicians | Pediatrics | 207KA0200X | 35.144618 | OH | N | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy |
No ID Information.