DR. JOHN DAVID ANDERSON (NPI# 1235435637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235435637 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID ANDERSON |
| Credential | M.D. |
| Practice Address |
4469 Green Valley Road Fairfield CA 94534-1365 |
| Practice Telephone | 7078648188 |
| Practice Fax Number | 7078648188 |
| Mailing Telephone | 7078648188 |
| Mailing Fax Number | 7078648188 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G19714 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MED BOARD OF CALIFORNIA PHYSICIAN & SURGEON | G19714 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251551 | John David Anderson | In Home Supportive Care | 6904 Joseph Drive, Enon, OH 45323-1448 | 2020-09-30 |
| 1689207433 | John William Anderson | Pharmacist | 5580 Hwy 70, Marshall, NC 28753 | 2020-02-20 |
| 1760956197 | John Elmer Anderson | Specialist/Technologist | 2201 University Dr, Lemont Furnace, PA 15456-1025 | 2019-01-18 |
| 1780123216 | John Fred Anderson Jr. | Student in an Organized Health Care Education/Training Program | 17093 Palisades Cir, Pacific Palisades, CA 90272-2139 | 2017-02-16 |
| 1588080147 | John Anderson | Obstetrics & Gynecology | 520 Campus Rd, Wyomissing, PA 19610-2216 | 2014-03-06 |
| 1033457809 | John Charles Anderson | Hearing Instrument Specialist | 116 Pennton Ave Sw Ste D, Lenoir, NC 28645-4377 | 2013-01-29 |
| 1093008138 | John Anderson | Acupuncturist | 7427 Se Woodstock Blvd, Portland, OR 97206-5838 | 2011-05-24 |
| 1649578212 | John Littleton Anderson V | Marriage & Family Therapist | 4908 Valley Ridge Ave, Los Angeles, CA 90043-1029 | 2011-03-07 |
| 1770880817 | John Edward Anderson Jr. | Psychologist | 6600 Beachview Dr, 400, Rancho Palos Verdes, CA 90275-5877 | 2011-02-25 |
| 1699070581 | John D Anderson | Nurse Anesthetist, Certified Registered | 601 S Harborview St, Moses Lake, WA 98837 | 2011-01-24 |
| Street Address |
4469 GREEN VALLEY ROAD |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073691564 | Herkanwal S. Khaira | Urology | 1860 Pennsylvania Ave Ste 200, 200, Fairfield, CA 94533-3550 | 2006-11-01 |
| 1659316487 | Mark R Howard | Urology | 7921 Jessies Way, Fairfield, OH 45011-8077 | 2006-06-17 |
| 1700820776 | Kevin G Campbell | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2006-06-16 |
| 1942643820 | Matthew Love | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2013-04-10 |
| 1356600969 | Stephen Frederick Kappa | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2012-05-16 |
| 1356668669 | Steven V Kardos | Urology | 425 Post Rd, 2nd Floor, Fairfield, CT 06824-6232 | 2010-04-26 |
| 1073746459 | Tri State Urologic Services Psc Inc | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2009-09-01 |
| 1881856482 | Daniel Francis Robertshaw | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2008-06-26 |
| 1619134269 | Matthew S Wosnitzer | Urology | 425 Post Rd, Suite 204, Fairfield, CT 06824-6232 | 2008-05-21 |
| 1437353505 | Greater Bridgeport Urology Center PC | Urology | 425 Post Rd, 2nd Floor, Fairfield, CT 06824 | 2007-06-13 |
| Find all providers in FAIRFIELD | ||||
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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.