DR. RODNEY J ANDERSON (NPI# 1275511586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275511586 |
| Entity Type | Individual |
| Full Name | DR. RODNEY J ANDERSON |
| Credential | D.O. |
| Practice Address |
1300 N Pennsylvania St Suite 200 Indianapolis IN 46202-4453 |
| Practice Telephone | 3179680409 |
| Practice Fax Number | 3179680402 |
| Mailing Telephone | 3179680409 |
| Mailing Fax Number | 3179680402 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2011-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
02000697A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | AETNA | 7402585 | 01 |
| IN | ICHIA | 000000387137 | 01 |
| IN | 200260200 B | 05 | |
| IN | FEDERAL TAX ID | 203669845 | 01 |
| IN | ANTHEM BLUE CROSS AND BLU | 000000387137 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316199185 | Rodney Anderson | Counselor | 1720 E Southmore Ave, Ste.205, Pasadena, TX 77502-1343 | 2008-10-10 |
| 1255477410 | Rodney L Anderson | Chiropractor | 103 Fram St, Petersburg, AK 99833 | 2007-01-29 |
| 1346402823 | Rodney S Anderson | Dentist | 3000 Harrison Ave Nw, Olympia, WA 98502 | 2008-06-26 |
| 1841468600 | Rodney James Anderson | Family Medicine | 3500 Orchard Pl, Bellingham, WA 98225-1749 | 2008-02-14 |
| 1538292594 | Rodney D Anderson | Case Manager/Care Coordinator | 6501 W 12th St, Little Rock, AR 72204-1511 | 2007-03-13 |
| 1851476352 | Rodney J Anderson | Physical Therapist | 12844 Military Rd S, Tukwila, WA 98168-3045 | 2006-10-25 |
| 1932295110 | Rodney Dale Anderson | Chiropractor | 903 N Beeline Hwy Ste B, Payson, AZ 85541-3789 | 2006-10-05 |
| 1952495582 | Rodney Anderson | Family Medicine | 379 North 500 West, Suite 1a, Vernal, UT 84078 | 2006-10-03 |
| 1265443246 | Rodney Udell Anderson Jr. | Urology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2006-08-11 |
| Street Address |
1300 N PENNSYLVANIA ST SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366422388 | Michael E Dettner | Counselor | 1300 N Pennsylvania St, Suite 200, Indianapolis, IN 46202-4453 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366901696 | Signal Business Administration Inc | Family Medicine | 135 Jordan Rd, Indianapolis, IN 46217-4003 | 2019-03-16 |
| 1700393741 | Jeffrey N De Wester Treatment and Research Center, LLC | Family Medicine | 6447 S East St Ste C, Indianapolis, IN 46227-2119 | 2017-12-29 |
| 1568413680 | J Nathan Sherlock | Family Medicine | 1241 Central Ave, Indianapolis, IN 46202-2613 | 2006-05-13 |
| 1811407729 | Eskenazi Medical Group Inc | Family Medicine | 720 Eskenazi Avenue, Fifth Third Bank Building, Ste. F1-200, Indianapolis, IN 46202-5166 | 2017-10-05 |
| 1568881076 | Dtrc, LLC | Family Medicine | 6447 S East St, Suite C, Indianapolis, IN 46227-2118 | 2014-04-11 |
| 1477820017 | A Klas Association | Family Medicine | 1829 Brassica Ln, Blgd. A, Indianapolis, IN 46217-7095 | 2011-11-28 |
| 1043590102 | Kennard B Sproul | Family Medicine | 1481 W 10th St, Va Medical Center, Indianapolis, IN 46202-2803 | 2011-08-22 |
| 1669692513 | Dr Segun Rasaki Md LLC | Family Medicine | 3266 N Meridian St, Suite 601, Indianapolis, IN 46208-5846 | 2007-04-25 |
| 1508886474 | Robert B Barber | Family Medicine | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2006-07-20 |
| 1346271574 | Freida R Thompson | Family Medicine | 4880 Century Plaza Rd, Ste 265, Indianapolis, IN 46254-5471 | 2006-07-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on DR. RODNEY J ANDERSON.
| 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.