DR. KENNETH CARL ANDERSON (NPI# 1194792671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194792671 |
| Entity Type | Individual |
| Full Name | DR. KENNETH CARL ANDERSON |
| Credential | MD |
| Practice Address |
440 Binney St Dana Farber Cancer Institute Boston MA 02115 |
| Mailing Address |
264 Weston Rd Wellesley MA 02482-4565 |
| Practice Telephone | 6176322144 |
| Practice Fax Number | 6176322140 |
| Mailing Telephone | 7815376209 |
| Mailing Fax Number | 6176322140 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
45550 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FALCON COMMUNITY HEALTH | 40652 | 01 | |
| CIGNA | 8941135 | 01 | |
| HPGC DFCI ONLY | B74115DF | 01 | |
| MA | 6190197 | 05 | |
| AETNA | 2060918 | 01 | |
| TUFTS | 045550 | 01 | |
| UNITED HEALTHCARE | 3004142 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023279080 | Kenneth M Anderson | Physical Therapist | 823 Kennedy St Ne, Washington, DC 20011 | 2008-06-23 |
| 1063683233 | Kenneth Lee Anderson | Dental Hygienist | 111 Muldoon Rd Apt 5, Anchorage, AK 99504-1435 | 2008-03-17 |
| 1154469690 | Kenneth William Anderson | Optometrist | 8048 San Miguel Canyon Rd, Salinas, CA 93907-1208 | 2007-02-04 |
| 1659434108 | Kenneth W Anderson IIi | Family Medicine | 14451 Morningside Rd, Orland Park, IL 60462-7413 | 2006-12-18 |
| 1528075793 | Kenneth Albert Anderson | Anesthesiology | 6605 Abercorn St Ste 108, Savannah, GA 31405-5896 | 2006-08-01 |
| 1215951611 | Kenneth David Anderson | Dentist | 204 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 | 2006-07-27 |
| 1437172533 | Kenneth L. Anderson IIi | Family Medicine | 1945 Garnet Ave, San Diego, CA 92109-3595 | 2006-07-26 |
| 1467483867 | Kenneth Robert Anderson | Family Medicine | 15701 State Road 50suite 101, Suite 101, Clermont, FL 34711 | 2006-07-05 |
| 1073569224 | Kenneth Allen Anderson | Physician Assistant | 1321 N Center St, Hickory, NC 28601-2535 | 2006-05-26 |
| 1508825860 | Kenneth Robert Anderson | Dentist | 132 N West St, Wichita, KS 67203 | 2006-03-23 |
| Street Address |
440 BINNEY ST DANA FARBER CANCER INSTITUTE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942782644 | Tal Sella | Internal Medicine | 450 Brookline Ave Fl Yawkey12, Boston, MA 02215-5418 | 2018-08-30 |
| 1154610376 | Kien-ninh Ina Ly | Internal Medicine | Pappas Center for Neuro-oncology, Yawkey 9e, 55 Fruit Street, Boston, MA 02114 | 2011-03-29 |
| 1891953196 | Lakshmi Nayak | Internal Medicine | 450 Brookline Ave # Da2108a, Boston, MA 02215-5418 | 2008-05-23 |
| 1487844528 | Iain J Webb | Internal Medicine | 20 Fayette St, Apt #2, Boston, MA 02116-5507 | 2007-07-25 |
| 1265557102 | Jason S Fisherman | Internal Medicine | 184 High St, 4th Floor, Boston, MA 02110-3001 | 2007-03-20 |
| 1306871637 | Irene M Ghobrial | Internal Medicine | Dana Farber Cancer Institute, 44 Binney Street, Boston, MA 02215 | 2006-07-12 |
| 1265464788 | James W Mier | Internal Medicine | Beth Israel Med Center, 330 Brookline Ave, Boston, MA 02215 | 2006-07-07 |
| 1013956002 | Michael A Goldstein | Internal Medicine | Beth Israel Deconess Medical Center, 330 Brookline Ave, Boston, MA 02216-0001 | 2006-06-05 |
| 1285671453 | Jill N Allen | Internal Medicine | 55 Fruit Street Yawkey 7e, Massachusetts General Hospital, Boston, MA 02114 | 2006-05-31 |
| 1487600961 | Levi A Garraway | Internal Medicine | 44 Binney Street, D1542, Dana Farber Cancer Institute, Boston, MA 02115 | 2006-05-26 |
| Find all providers in BOSTON | ||||
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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.