DR. NICOLAS S ANDERSON (NPI# 1124179817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124179817 |
| Entity Type | Individual |
| Full Name | DR. NICOLAS S ANDERSON |
| Credential | DPM |
| Practice Address |
353 E Burlington St Suite 100 Riverside IL 60546-2189 |
| Mailing Address |
353 E Burlington Street Suite 100 Riverside IL 60546 |
| Practice Telephone | 7084420221 |
| Practice Fax Number | 7084425670 |
| Mailing Telephone | 7084420221 |
| Mailing Fax Number | 7084425670 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016-005287 | IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073915864 | Nicolas Chace Anderson | Student in an Organized Health Care Education/Training Program | Weber State University 1435 Village Dr Dept 2801, Ogden, UT 84408-0001 | 2014-09-23 |
| Street Address |
353 E BURLINGTON ST SUITE 100 |
| City | RIVERSIDE |
| State | IL |
| Zip Code | 60546-2189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913573 | Michael J Hejna | Orthopaedic Surgery | 353 E Burlington St, Ste 100, Riverside, IL 60546-2082 | 2005-06-21 |
| 1316409386 | Kevin Cayanan | Nurse Practitioner | 353 E Burlington St, Riverside, IL 60546-2189 | 2019-04-01 |
| 1407339765 | Adriane Weaver | Nurse Practitioner | 353 E Burlington St, Riverside, IL 60546-2189 | 2018-09-12 |
| 1912307448 | Jennifer Kang | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2014-09-03 |
| 1093016016 | Samantha R Adamczyk | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2010-11-08 |
| 1952469454 | Orthopaedic Associates of Riverside,llc | Orthopaedic Surgery | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-12-05 |
| 1417058934 | Alan D Moses | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-09-26 |
| 1811097918 | High-tech Imaging, Inc. | Spec/Tech, Cardiovascular | 353 E Burlington St, Suite 204, Riverside, IL 60546-2189 | 2006-09-25 |
| 1952381865 | Erling Ho | Orthopaedic Surgery | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-01-18 |
| 1154313427 | Staci Michelle Vetrovsky | Dietitian, Registered | 353 E Burlington St, Suite 202, Riverside, IL 60546-2189 | 2005-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700598 | Bekim Koleci | Pharmacist | 2500 South Harlem Ave, North Riverside, North Riverside, IL 60546 | 2020-11-02 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1972073559 | Patricia Dumke | Physical Therapist | 2518 S. Harlem Unit C, North Riverside, IL 60546 | 2018-11-27 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| Find all providers in zip 60546 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861819476 | Roger Tsutsumi Dpm Inc | Podiatrist | 9041 Magnolia Ave Ste 203, Riverside, CA 92503-3956 | 2014-03-20 |
| 1831267863 | Howard A Cox | Podiatrist | 2835 130th St, Riverside, IA 52327-9699 | 2006-11-30 |
| 1477583912 | Sneh L. Mehtani | Podiatrist | 3722 Tibbetts St, Riverside, CA 92506-2605 | 2006-07-03 |
| 1447214291 | David Michael Ruggiero | Podiatrist | 1525 Wampanoag Trl, Suite 204, Riverside, RI 02915-1038 | 2006-04-17 |
| 1336600196 | Adam Rife | Podiatrist | 3838 Sherman Dr Ste 9, Riverside, CA 92503-4001 | 2019-03-26 |
| 1679011209 | Total Foot & Ankle Center | Podiatrist | 3838 Sherman Dr Ste 9, Riverside, CA 92503-4001 | 2017-02-02 |
| 1669808739 | Joseph Darryl Nelson | Podiatrist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2013-09-22 |
| 1427498260 | Adam Beckler | Podiatrist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2013-06-25 |
| 1932464641 | Sahand Golshan-khalili | Podiatrist | 1485 University Ave, Suite B, Riverside, CA 92507-9500 | 2012-07-09 |
| 1568760163 | Connie Melanie Choy | Podiatrist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2011-03-05 |
| Find all providers in RIVERSIDE | ||||
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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.