Individual
ANDREW C SCHUTRUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 HANSHAW RD STE C, ITHACA, NY 14850-1549
(804) 387-2328
(607) 319-0492
Mailing address
905 HANSHAW RD STE C, ITHACA, NY 14850-1549
(804) 387-2328
(607) 319-0492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101056695
VA
207R00000X
Internal Medicine Physician
Primary
184266
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010017033
—
VA
01
—
110217727
RAILROAD MEDICARE
VA
01
—
122921
SOUTHERN HEALTH SERVICES
VA
01
—
228139
ANTHEM BCBS OF VA
VA
01
—
292573
MAMSI
VA
01
—
43931
SENTARA
VA
01
—
4902989
CIGNA
VA
01
—
5569579
AETNA LIFE
VA
01
—
C06689
GROUP PTAN
VA
Enumeration date
04/06/2006
Last updated
08/04/2023
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