DR. EDWARD EVERETT ANDERSON (NPI# 1063597193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063597193 |
| Entity Type | Individual |
| Full Name | DR. EDWARD EVERETT ANDERSON |
| Other Name | DR. EDWARD EVERETT ANDERSON |
| Credential | M.D. |
| Practice Address |
508 Fulton St Durham NC 27705-3875 |
| Mailing Address |
3808 Darwin Rd Durham NC 27707-5308 |
| Practice Telephone | 9192860411 |
| Practice Fax Number | 9194165857 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 11426 | NC | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775309 | Edward Earl Anderson Jr. | Community Health Worker | 64 Poydras St, Hyde Park, MA 02136-6419 | 2020-09-17 |
| 1699886457 | Edward Andrew Anderson | Dentist | 302 2nd Ave Sw, Jamestown, ND 58401-4157 | 2006-08-31 |
| 1366445462 | Edward Anderson | Podiatrist | 411 Letcher St, Henderson, KY 42420-4245 | 2005-05-23 |
| 1447864673 | Edward Anderson | Licensed Practical Nurse | 2470 Mall Dr, N.charleston, SC 29406 | 2020-09-04 |
| 1043596026 | Edward Anderson | Pharmacist | 22303 Mountain Hwy E, Spanaway, WA 98387-7529 | 2011-10-22 |
| 1942592498 | Edward Jermaine Anderson | Physical Therapist | 33600 W 85th St, De Soto, KS 66018-8118 | 2011-05-03 |
| 1053561365 | Edward J Anderson | Case Manager/Care Coordinator | 32 Conrad Dr, Jackson, TN 38305-2801 | 2008-09-23 |
| 1750561577 | Edward Anderson | Counselor | 5755 North Point Parkway, Suite 90, Alpharetta, GA 30022 | 2007-11-08 |
| 1740493568 | Edward Charles Anderson | Chiropractor | 19 Franklin St, Cambridge, MD 21613-1916 | 2007-05-08 |
| 1508998931 | Edward D Anderson | Physical Therapist | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2007-03-12 |
| Street Address |
508 FULTON ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217086 | Stuart Hall Manning | Internal Medicine | 508 Fulton St, C/o Durham Va Medical Center, Durham, NC 27705-3875 | 2005-07-06 |
| 1245839083 | Jessica Elizabeth Cornett | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1043819808 | Rebecca Parker Maccioli | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1174122055 | Aline Xayasouk | Occupational Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-21 |
| 1730786187 | Kathryn Masincupp | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-07 |
| 1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
| 1144833716 | Phillip Charles Tampis | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-24 |
| 1164033445 | Alexandra Demascole | Social Worker | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-11 |
| 1386254498 | Krishna Rana | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
| 1730799842 | Jinah Han | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811194731 | Department of Veterans Affairs Medical Center | Military Hospital | 508 Fulton St # 117c, Va Medical Center Mrs. Demetri, Durham, NC 27705-3875 | 2007-07-03 |
| 1508886516 | Detlev Erdmann | Military Hospital | Baker House Duke Rm 131, Duke Uuniversity Medical Center, Durham, NC 27710-0001 | 2006-07-20 |
| 1699173211 | Annie Jayanth | Military Hospital | 508 Fulton St, Durham, NC 27705-3875 | 2014-12-12 |
| 1720251275 | Durham Vamc | Military Hospital | Duke University Medical Center, Erwin Rd, Durham, NC 27710-0001 | 2008-04-04 |
| 1407028400 | Durham Va Medical Center | Military Hospital | 508 Fulton St, Durham, NC 27705-3875 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861867293 | Womack Army Medical Center | Military Hospital | 2817 Reily Road, Fort Bragg, NC 28317 | 2015-12-10 |
| 1083777460 | Tyler Vachon | Military Hospital | Mcas Nr Mag 29 Gas, As 100, Jacksonville, NC 28545-1034 | 2006-12-18 |
| 1275198848 | Louis Perez | Military Hospital | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2019-05-08 |
| 1194246256 | Laura Orlando | Military Hospital | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2017-06-29 |
| 1376091611 | W.g. Bill Hefner Vamc | Military Hospital | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2016-09-15 |
| 1205293958 | Jennifer E Porter | Military Hospital | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2016-01-26 |
| 1235594094 | Brittany A Lovett | Military Hospital | 2817 Reilly Road, Fort Bragg, NC 28310 | 2015-12-22 |
| 1871977074 | Us Department of Veterans Affairs | Military Hospital | 3040 Hammond Business Pl, Suite 105, Raleigh, NC 27603-3666 | 2015-07-17 |
| 1932451689 | Michelle Tomasa Roper | Military Hospital | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2012-10-04 |
| 1134425747 | Serena M Leung | Military Hospital | 100 Brewster Blvd, Building 15, Camp Lejeune, NC 28547-2538 | 2011-01-28 |
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| 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.