Active NPIIndividual provider

Mr. Jason D Andrus, PA-C

Physician Assistant, Surgical in Meriden, Connecticut

NPI Number1104808369
Practice location
435 Lewis Ave, Meriden, CT 06451-2101
Fax
—
Last updated
August 7, 2025

Jason D. Andrus is a Physician Assistant, Surgical based in Meriden, CT. Jason D. Andrus practices in Meriden, CT and has the professional credentials of PA-C. The NPI Number for Jason D. Andrus is 1104808369 and holds a License No. 1011 (CT). The current practice location address for Jason D. Andrus is 435 Lewis Ave, Meriden, CT 06451-2101 and can be reached out via phone at 833-203-7523.

Provider Profile Details

NPI Number
1104808369
Provider Name
Jason D. Andrus
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
435 Lewis Ave, Meriden, CT 06451-2101
Phone Number
833-203-7523
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
November 15, 2005
Last Update Date
August 7, 2025
Certification Date
August 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
435 Lewis Ave
Meriden, CT 06451-2101
Zip
06451-2101
Phone Number
833-203-7523
Meriden, CT 06451Get directions →

Provider Business Mailing Address Details

Address
435 Lewis Ave
Meriden, CT 06451-2101
City
Meriden
State
CT
Zip
06451-2101
Phone Number
833-203-7523

License Information

License Number
1011
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jason D Andrus, PA-C?

The NPI number of Mr. Jason D Andrus, PA-C is 1104808369. It was assigned on November 15, 2005 and is currently active in the NPPES registry.

What is the specialty of Mr. Jason D Andrus, PA-C?

Mr. Jason D Andrus, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 1011.

Where does Mr. Jason D Andrus, PA-C practice?

The practice location is 435 Lewis Ave, Meriden, CT 06451-2101. The office can be reached at 833-203-7523 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104808369 directly on the NPPES registry website.

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