DR. DANIEL ALEXANDER ANDERSON (NPI# 1003202565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003202565 |
| Entity Type | Individual |
| Full Name | DR. DANIEL ALEXANDER ANDERSON |
| Credential | MD |
| Practice Address |
327 Medical Park Dr Bridgeport WV 26330-9006 |
| Mailing Address |
9910 Franklin Square Dr # 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 6813421000 |
| Mailing Telephone | 4109336421 |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
29425 | WV | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
D86090 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LICENSE | D86090 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1959 Ne Pacific St, Box 356100, Seattle, WA 981956100 | 2063349918 | |
| 600 N Wolfe St, Baltimore, MD 21287 | 4109555000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609228949 | Daniel Edward Anderson | Social Worker | 3830 Packard St Ste 110, Ann Arbor, MI 48108 | 2016-07-11 |
| 1104217264 | Daniel Anderson | Pharmacist | 3842 Bantam Dr, Hudsonville, MI 49426-7528 | 2015-02-11 |
| 1073853057 | Daniel L Anderson | Physical Therapist | 1952 East 7000 South Ste 100, Salt Lake City, UT 84121 | 2013-02-27 |
| 1578892303 | Daniel Ernest Anderson | Chiropractor | 3138 N 10th St # 3a, Bismarck, ND 58503-0509 | 2009-12-07 |
| 1144408733 | Daniel Ray Anderson | Massage Therapist | 1812 N Washington St, Spokane, WA 99205-4757 | 2008-02-06 |
| 1164600177 | Daniel Arvin Anderson | Chiropractor | 11020 27th Ave S, Burnsville, MN 55337-1012 | 2008-02-01 |
| 1194949172 | Daniel Scott Anderson | Emergency Medicine | 23324 Edsel Ford Ct, Saint Clair Shores, MI 48080-2569 | 2007-04-12 |
| 1881817997 | Daniel A. Anderson | Psychologist | 1530 Boise Ave Ste 103, Loveland, CO 80538-4240 | 2007-04-10 |
| 1760537021 | Daniel William Anderson | Chiropractor | 21157 State Route 410 E, Bonney Lake, WA 98391-8457 | 2007-01-24 |
| 1033267166 | Daniel Dean Anderson | Psychiatry & Neurology | 47915 Oasis St Ste C, Indio, CA 92201-6950 | 2007-01-08 |
| Street Address |
327 MEDICAL PARK DR |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629078381 | James P Litwin Jr. | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2005-07-26 |
| 1497355218 | Justin Daniel Debusca | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-10-30 |
| 1902403934 | Kyle Lehosit | Physician Assistant | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-10-02 |
| 1003437633 | Jessica Lynn Carder | Emergency Medicine | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-05-05 |
| 1629608278 | Ethan Ramsey | Physician Assistant | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2020-01-23 |
| 1386298727 | Courtney Lynn Watkins | Nurse Practitioner | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-07-24 |
| 1689231441 | Olivia Campbell | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-05-28 |
| 1538726369 | Timothy Bryan Mcginnis | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-05-28 |
| 1235793134 | Caleb David Martin | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-04-25 |
| 1518422328 | Amber Nicole Riley | Nurse Anesthetist, Certified Registered | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2019-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699937748 | Heather Mary Carney | Pathology | 2800 Main, Dept. of Pathology, Bridgeport, CT 06606-4201 | 2008-06-30 |
| 1497126205 | Greater Bridgeport Diagnostics LLC | Pathology | 2800 Main St, Bridgeport, CT 06606-4201 | 2015-10-20 |
| 1710276647 | Matthew Scott Szarko | Pathology | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2011-03-31 |
| 1902083330 | Alexander Finkelstein | Pathology | 267 Grant St, Bridgeport, CT 06610-2805 | 2008-01-29 |
| 1295935104 | Brock Joseph Oliverio | Pathology | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2007-07-19 |
| 1154440139 | Christine Marianne Minerowicz | Pathology | 267 Grant St, Bridgeport, CT 06610-2805 | 2007-03-28 |
| 1518064757 | Fairfield County Pathology Consultants, LLC | Pathology | 2800 Main St, St. Vincent's Medical Center, Dept. of Pathology, Bridgeport, CT 06606-4201 | 2006-09-20 |
| 1609830470 | Eugene H Lewis IIi | Pathology | 2800 Main St, St. Vincent's Medical Center, Dept. of Pathology, Bridgeport, CT 06606-4201 | 2006-04-17 |
| 1295797553 | George Michael Golenwsky | Pathology | 2800 Main St, Bridgeport, CT 06606-4201 | 2006-04-03 |
| 1245212596 | Young Choi Kim | Pathology | 267 Grant St, Bridgeport, CT 06610-2805 | 2005-11-14 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on DR. DANIEL ALEXANDER ANDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.