ANDERSON UNIVERSITY


Address: 316 Boulevard, Abney Gymnasium, Box 999, Anderson, SC 29621-4002
Phone: 8642312144

ANDERSON UNIVERSITY (NPI# 1275883738) 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) 1275883738
Entity Type Organization
Organization Name ANDERSON UNIVERSITY
Other Organization Name ANDERSON UNIVERSITY ATHLETICS
Practice Address 316 Boulevard
Abney Gymnasium, Box 999
Anderson
SC 29621-4002
Practice Telephone 8642312144
Mailing Telephone 8642312144
Enumeration Date 2012-09-12
Last Update Date 2012-10-08
Authorized Official Name DR. EVANS WHITAKER (PRESIDENT)
Authorized Official Telephone 8642312100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 261QS1000X Clinic/Center
Specialization: Student Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Anderson University Athletics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457482952 Anderson University Specialist/Technologist 200 George B Timmerman Dr, Anderson, SC 29621-1802 2007-03-08

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ANDERSON UNIVERSITY 316 Boulevard, Anderson, SC 29621-4002
Indiana Business Entities ANDERSON UNIVERSITY PARENTS FOOTBALL CLUB, INC. 1100 East 5th Street, Anderson, IN 46012
System for Award Management (SAM) Entities ANDERSON UNIVERSITY, INC. 1100 E 5th St, Anderson, IN 46012-3462

Office Location

Street Address 316 BOULEVARD
ABNEY GYMNASIUM, BOX 999
City ANDERSON
State SC
Zip Code 29621-4002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922533959 Gabrielle Simpson Specialist/Technologist 316 Boulevard, Box 999, Anderson, SC 29621-4002 2017-04-27
1861927899 Johnathan Kitts Specialist/Technologist 316 Boulevard, Box 999, Anderson, SC 29621-4002 2017-04-27
1861948622 Vanessa Rettinger Specialist/Technologist 316 Boulevard, Anderson, SC 29621-4002 2016-08-31
1043683774 Monica Elizabeth Lopes Specialist/Technologist 316 Boulevard, Box 999, Anderson, SC 29621-4002 2015-11-03
1871981928 Dalton Greer Specialist/Technologist 316 Boulevard, Anderson, SC 29621-4002 2014-12-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114574241 Kathryn L Harwick Social Worker 3030 Sc-81, Anderson, SC 29621 2019-08-22
1326517194 Ashlea Bronwen Bates Nurse Practitioner 3424 Clemson Blvd., Anderson, SC 29621 2018-11-21
1770051708 Bailee Vernon Mccarley Nurse Practitioner 800 Fant St, Anderson, SC 29621 2018-11-07
1790278893 Morgan Cutts Speech-Language Pathologist 126 Broadbent Way, Suite A, Anderson, SC 29621 2018-06-13
1427546233 Amanda Coker Burnette Family Medicine 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 2018-04-26
1205342169 Robert Allen Dameron Jr. Orthopaedic Surgery 130 Longview Drive, Anderson, SC 29621 2017-12-14
1578085411 Michael Jason Bell Contractor 520 Hwy 29 Bypass N, Anderson, SC 29621 2017-07-12
1639629983 Todd E. Hamilton Dentist 1112 Cornelia Road, Anderson, SC 29621 2016-10-11
1760939110 Crystal Vaughn Nurse Practitioner Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 2016-09-01
1992151328 Veronica Williams Non-emergency Medical Transport (VAN) 2314 Old Williamston Road, Anderson, SC 29621 2016-05-04
Find all providers in zip 29621

Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669950903 Medical University of South Carolina Clinic/Center 30 Bee St Ste 102, Charleston, SC 29425-8910 2018-07-30
1083916647 Usc Upstate Clinic/Center 995 University Way, Usc Upstate Health Services, Spartanburg, SC 29303-4932 2010-12-02
1720256316 Winthrop University Clinic/Center 217 Crawford Building, Crawford Building, Rock Hill, SC 29733-7001 2008-02-15
1699816199 Winthrop University Health Services Pharmacy Clinic/Center 701 Oakland Ave, Crawford Bldg, Rock Hill, SC 29733-7001 2007-02-09
1740293422 University of South Carolina Clinic/Center U S C Student Health Ctr, Columbia, SC 29208-0001 2006-08-14
1265404743 Abbeville County School District Clinic/Center 400 Greenville St., Abbeville, SC 29620 2006-02-07
1598382152 Rafael Mojica Clinic/Center 350 Howard St, Spartanburg, SC 29303-3515 2020-06-30
1285068544 University of South Carolina Aiken Clinic/Center 471 University Pkwy, Box 11, Aiken, SC 29801-6389 2013-08-22
1437434297 Wofford College Clinic/Center 429 N Church St, Spartanburg, SC 29303-3612 2011-10-12
1083800858 Coastal Carolina University Student Health Services Clinic/Center 204 University Blvd, Conway, SC 29526-8834 2007-09-14
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Competitor

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City ANDERSON
Zip Code 29621

Improve Information

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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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