SAMUEL TYLER ANDERSON (NPI# 1013545367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013545367 |
| Entity Type | Individual |
| Full Name | SAMUEL TYLER ANDERSON |
| Credential | MD |
| Practice Address |
1906 Belleview Ave Se Roanoke VA 24014-1838 |
| Mailing Address |
2732 W Arlington Blvd Apt 107 Greenville NC 27834-4126 |
| Practice Telephone | 5409817000 |
| Mailing Telephone | 8284008582 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659767887 | Samuel Michal Anderson | General Practice | Po Box 31581, Phoenix, AZ 85046-1581 | 2015-04-14 |
| 1720180235 | Samuel P. Anderson | Dentist | 271 S Pine St, Spartanburg, SC 29302-2626 | 2006-09-04 |
| 1073152179 | Samuel Anderson | Pharmacist | 5370 E Hill Rd, Grand Blanc, MI 48439-8622 | 2020-01-06 |
| 1255800322 | Samuel Neal Anderson | Counselor | 624 Connell Park Ln, Baton Rouge, LA 70806-6534 | 2018-11-19 |
| 1851818819 | Samuel James Anderson | Social Worker | 6600 France Ave S, Edina, MN 55435-1805 | 2017-08-29 |
| 1770708554 | Samuel Dee Anderson | Anesthesiology | 2420 Camino Ramon, Ste. 270, San Ramon, CA 94583-4385 | 2007-04-16 |
| 1902883135 | Samuel R Anderson | Internal Medicine | 4895 Olentangy River Rd, Suite 100, Columbus, OH 43214-1926 | 2005-12-29 |
| Street Address |
1906 BELLEVIEW AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315796 | Lee Ann Speed | Registered Nurse | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2005-06-10 |
| 1114526605 | Kimberly Ann Ramsey | Clinical Nurse Specialist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-10-26 |
| 1578181285 | Sarah Lipps | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-09 |
| 1124646831 | Shannon Victoria Brown | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-09 |
| 1285252189 | Yang Zhao | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1932727831 | Jonathan Zalman | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1669090569 | Miranda Thomas | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1427676329 | Zachary Seth Stevenson | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1053939801 | Narmada Mannem | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1821616657 | Vanessa Pellegrino | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382780 | Thomas James Tronstad | Student in an Organized Health Care Education/Training Program | 5009 Oakleigh Ave Sw, Roanoke, VA 24018-1611 | 2020-07-03 |
| 1326662131 | Kara Marie Williams | Student in an Organized Health Care Education/Training Program | 16 Old Woods Ave Se Apt 333, Roanoke, VA 24016-1431 | 2020-06-08 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1790310837 | Amit Piple | Student in an Organized Health Care Education/Training Program | 2530 Rosalind Ave Sw, Roanoke, VA 24014-2326 | 2020-03-09 |
| 1629608138 | Jessica Lynn Jacobs | Student in an Organized Health Care Education/Training Program | 360 Fincher Rd, Roanoke, AL 36274-2632 | 2020-01-23 |
| 1548809429 | Violet Gelowani | Student in an Organized Health Care Education/Training Program | 1406 3rd St Sw Apt 5, Roanoke, VA 24016-5249 | 2019-12-25 |
| 1275171241 | Kayla Brett Pulley | Student in an Organized Health Care Education/Training Program | 327 Campbell Ave Sw Apt 107, Roanoke, VA 24016-3653 | 2019-12-20 |
| 1831754175 | Kevin Charles Duffy | Student in an Organized Health Care Education/Training Program | 16 Old Whitmore Ave Se Apt 414, Roanoke, VA 24016-1236 | 2019-05-02 |
| Find all providers in ROANOKE | ||||
Please comment or provide details below to improve the information on SAMUEL TYLER 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.