SCOTT KENNETH ANDERSON (NPI# 1265500599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265500599 |
| Entity Type | Individual |
| Full Name | SCOTT KENNETH ANDERSON |
| Credential | D.C. |
| Practice Address |
4033 Owen Rd Fenton MI 48430-9100 |
| Practice Telephone | 8107502600 |
| Practice Fax Number | 8107509186 |
| Mailing Telephone | 8107502600 |
| Mailing Fax Number | 8107509186 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301005414 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSSBLUE SHIELD | 950B512170 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821308719 | Scott Robert Anderson | Psychologist | 800 Carter St Ste 260, Rochester, NY 14621-2604 | 2010-10-14 |
| 1770897910 | Scott Mitchell Anderson | Dentist | 855 A Ave Ne Ste Ll1, Cedar Rapids, IA 52402-5064 | 2010-07-29 |
| 1205099199 | Scott Monroe Anderson | Occupational Therapist | 991 Clyde Ave, Santa Clara, CA 95054-1905 | 2008-07-09 |
| 1699965269 | Scott Eric Anderson I | Counselor | 2239 Bridgeport Wat, Martrinez, CA 94553 | 2007-07-30 |
| 1245353598 | Scott Robert Anderson | Dentist | 33 E Chapman St, Ely, MN 55731-1227 | 2007-04-09 |
| 1053441436 | Scott Dodd Anderson | Preventive Medicine | 9261 Folsom Blvd Ste 200, Sacramento, CA 95826-2559 | 2007-03-06 |
| 1497897748 | Scott Edward Anderson | Physician Assistant | Diraimondo Troop Medical Clinic #9, Fort Carson, CO 80913 | 2007-02-13 |
| 1104962166 | Scott Michael Anderson | Chiropractor | 3824 Bloomington Ave, Minneapolis, MN 55407-2842 | 2007-01-29 |
| 1316000235 | Scott Gary Anderson | Chiropractor | 3821 Washington Rd, Mc Murray, PA 15317-2946 | 2006-12-19 |
| 1316019433 | Scott William Anderson | Dentist | 521 W Lake Ave, Peoria, IL 61614-6020 | 2006-11-14 |
| Street Address |
4033 OWEN RD |
| City | FENTON |
| State | MI |
| Zip Code | 48430-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457684987 | Anderson Chiropractic Group of Michigan Inc. | Chiropractor | 4033 Owen Rd, Fenton, MI 48430-9100 | 2009-09-16 |
| 1093848061 | Tri County Chiropractic of Michigan Inc. | Chiropractor | 4033 Owen Rd, Fenton, MI 48430-9100 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673389 | Revival Chiropractic LLC | Chiropractor | 464 Old Smizer Mill Rd, Fenton, MO 63026-3553 | 2019-01-30 |
| 1184046039 | Painless Chiropractic, Pllc | Chiropractor | 2803 W Silver Lake Rd, Fenton, MI 48430-2655 | 2014-01-13 |
| 1265871776 | Michael Ryan Zwiener | Chiropractor | 672 Gravois Bluffs Blvd, Fenton, MO 63026-7714 | 2013-06-18 |
| 1861751166 | Kyle Matthew Tiefel | Chiropractor | 1525 Bowles Ave Ste C, Fenton, MO 63026-2310 | 2012-05-08 |
| 1881902286 | Jaime L Rosewarne | Chiropractor | 1537 N Leroy St, Suite F, Fenton, MI 48430-2795 | 2010-09-20 |
| 1205157773 | Cambridge Medical for Men LLC | Chiropractor | 900 S Highway Dr Ste 300, Fenton, MO 63026-2042 | 2010-06-18 |
| 1215116751 | Richard Preston Stork | Chiropractor | 1549 N Leroy St, Suite B, Fenton, MI 48430-2790 | 2007-11-01 |
| 1912118191 | James P. Sweeney | Chiropractor | 20 Ashgate Ct, Fenton, MO 63026-3101 | 2007-05-27 |
| 1922121912 | Fenton Chiropractic and Rehab Center, Inc | Chiropractor | 651 Gravois Rd, Fenton, MO 63026-4136 | 2007-04-06 |
| 1538288048 | Chiropractic Accident Center of Fenton, P.C. | Chiropractor | 408 Gravois Rd, Fenton, MO 63026-4133 | 2007-03-28 |
| Find all providers in FENTON | ||||
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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.