ANDREW AGEN DAVIS, MD SC – NPI #1598869224
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

ANDREW AGEN DAVIS, MD SC is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1598869224 to ANDREW AGEN DAVIS, MD SC on September 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ANDREW AGEN DAVIS, MD SC is also known by the name ANDY AGEN DAVIS, MD SC. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 11 years ago on Feb 06, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANDREW AGEN DAVIS, MD SC below.

NPI Profile for
ANDREW AGEN DAVIS, MD SC

NPI Number
1598869224
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANDREW AGEN DAVIS, MD SC
Other Name: ANDY AGEN DAVIS, MD SC
Primary location
8541 SO STATE STREET
SUITE 8
CHICAGO, IL 60619
Phone: (773) 874-7711 Fax: (773) 874-4721
Mailing address
8541 SOUTH STATE STREET
SUITE 8
CHICAGO, IL 60619
Phone: (773) 874-7711 Fax: (773) 874-4721
Organization Subpart
No
Authorized Official
ANDREW DAVIS
PRESIDENT
Phone: (773) 874-7711
Updated
Identifiers

Identifiers for ANDREW AGEN DAVIS, MD SC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036054434
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 IL 036054434

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.