DR. KEITH ALAN ANDERSON


Address: 200 Greenwich Rd, Charlotte, NC 28211-2316
Phone: 7043848680

DR. KEITH ALAN ANDERSON (NPI# 1174652606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174652606
Entity Type Individual
Full Name DR. KEITH ALAN ANDERSON
Credential MD
Practice Address 200 Greenwich Rd
Charlotte
NC 28211-2316
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043848680
Practice Fax Number 7043848684
Mailing Telephone 7043848680
Mailing Fax Number 7043848684
Enumeration Date 2007-03-02
Last Update Date 2020-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 133989 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC N01507 05
NC LICENSE 133989 01
NC DEA AC5385578R118 01
NC 5912419 05

Other Providers KEITH ANDERSON

NPI Name Taxonomy Address Enumeration
1144579343 Keith Alan Anderson Chiropractor 208 S Burlington Ave Ste 114, Hastings, NE 68901-5950 2012-09-04
1174654917 Keith John Anderson Psychologist 110 8th St., Troy, NY 12180 2007-03-07
1790245611 Keith Anderson Jr. Student in an Organized Health Care Education/Training Program 509 Biltmore Ave, Asheville, NC 28801-4601 2019-03-25
1275035503 Keith Francis Anderson Jr. Speech-Language Pathologist 180 W 80th St, New York, NY 10024-6378 2018-03-02
1578072948 Keith Michael Anderson Social Worker 608 Wright Ave, Alma, MI 48801-1617 2017-09-28
1295196566 Keith Anderson Student in an Organized Health Care Education/Training Program 3302 Gaston Ave, Dallas, TX 75246-2013 2016-03-15
1891039814 Keith Erwin Anderson Social Worker 3600 Broadway, Suite 19, West Palm Beach, FL 33407-4844 2012-11-15
1902185051 Keith Richard Anderson Podiatrist 7231 Sunwood Dr Nw, Ramsey, MN 55303-5190 2011-08-08
1982863312 Keith A Anderson Counselor 403 E Madison St, South Bend, IN 46617-2322 2008-06-02
1356401459 Keith Fletcher Anderson Dentist 9225 Manchester Rd, Suite 202, Saint Louis, MO 63144-2640 2006-12-11

Office Location

Street Address 200 GREENWICH RD
City CHARLOTTE
State NC
Zip Code 28211-2316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518968957 Joseph Cole Mueller Family Medicine 200 Greenwich Rd, Charlotte, NC 28211-2316 2005-08-09
1376100297 Sarah Pruitt Shore Nurse Practitioner 200 Greenwich Rd, Charlotte, NC 28211-2316 2019-05-27
1073043600 Ellen Greear Nurse Practitioner 200 Greenwich Rd, Charlotte, NC 28211-2316 2017-06-15
1679989180 Elizabeth Joy Nelson Nurse Practitioner 200 Greenwich Rd, Charlotte, NC 28211-2316 2014-07-03
1710223409 Susanne Peacock Hawthorne Physician Assistant 200 Greenwich Rd, Charlotte, NC 28211-2316 2012-12-27
1801917703 Susannah Van Dyke Nurse Practitioner 200 Greenwich Rd, Charlotte, NC 28211-2316 2007-04-02
1740236702 Novant Medical Group, Inc. Family Medicine 200 Greenwich Rd, Charlotte, NC 28211-2316 2006-05-25
1184618282 Lori Taylor Family Medicine 200 Greenwich Rd, Charlotte, NC 28211-2316 2005-09-02
1356335665 Michael Hoben Family Medicine 200 Greenwich Rd, Charlotte, NC 28211-2316 2005-09-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184277832 I and J Wheelchair Transportation Non-emergency Medical Transport (VAN) 1512 Delane Avenue, Charlotte, NC 28211 2019-07-22
1922563923 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 2019-02-04
1649798273 Ally Home Care Charlotte LLC In Home Supportive Care 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 2017-09-04
1154866770 Vaibhav Bajaj Dentist 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 2017-01-05
1508254939 Lindsay Marie Smits Speech-Language Pathologist 427 N. Wendover Rd., Charlotte, NC 28211 2015-01-08
1457755480 Kristen Hammer Physical Therapy Assistant 4120 Providence Rd Apt D, Charlotte, NC 28211 2014-10-20
1669805610 Carla Elizabeth Scott Physical Therapist 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 2013-08-14
1760726368 Jill Hensdale Shipp Social Worker 307 Hunter Lane, Charlotte, NC 28211 2012-11-20
1346592722 Danielle Marie Benoit Occupational Therapist 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 2012-10-09
1487910832 John Joseph Marcel Jr. Orthopaedic Surgery 449 North Wendover Rd Ste A, Charlotte, NC 28211 2012-04-10
Find all providers in zip 28211

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235745985 Alegis Care - North Carolina PC Family Medicine 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 2020-09-18
1902411077 Carolina Medical Partners Pllc Family Medicine 10535 Flennigan Way, Charlotte, NC 28277-1417 2020-09-15
1083226906 Relymd Medical Group Nc, Pllc Family Medicine 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 2020-08-21
1861019150 Novant Medical Group, Inc. Family Medicine 2701 Statesville Ave., Charlotte, NC 28206 2020-07-02
1881223139 Renew Health and Wellness Family Medicine 9010 Glenwater Dr Ste 102, Charlotte, NC 28262-8593 2020-04-07
1164052957 Partners In Integrated Healthcare & Wellness Pllc Family Medicine 9414b Albemarle Rd, Charlotte, NC 28227-3346 2020-01-21
1578103636 Madelyn Laine Eudy Family Medicine 15640 Don Lochman Ln Ste A, Charlotte, NC 28277-4793 2020-01-07
1518514686 L'renda Arkie Adams Family Medicine 8724 Bodkin Ct, Charlotte, NC 28215-7356 2019-08-22
1952956419 Heather Marie Anderson Family Medicine 6404 Albemarle Rd Ste J&k, Charlotte, NC 28212-3800 2019-08-01
1003460213 Companion Health, Pllc Family Medicine 5029 Lady Fern Cir, Charlotte, NC 28211-4182 2019-07-25
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

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.

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