Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrew Benjamin Vizcarra, MD

Individual provider Pediatrics Physician · NPI 1629502265

Dr. Andrew Benjamin Vizcarra, MD is a Pediatrics Physician in Sandpoint, Idaho. Licensed in Idaho and Tennessee. Registered with an NPI since 2017.

Licensed in
ID, TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

810 Sixth Ave
Sandpoint, ID 83864-5396
Phone: (208) 263-7101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M-17696 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence 60530 (TN)

Record details

NPI number1629502265
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2017
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

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