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

Mr. Andrew Walter Douglas, RPA-C

Individual provider Surgical Physician Assistant · NPI 1649335274

Mr. Andrew Walter Douglas, RPA-C is a Surgical Physician Assistant in Bronx, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

3RD Ave And 183rd Str
Bronx, NY 10457-2594
Phone: (718) 960-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 011617 (NY)

Record details

NPI number1649335274
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedDecember 26, 2006
Last updated in NPPESJuly 8, 2007

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