MR. THEODORE SCOTT ANDERSON SR. (NPI# 1295952299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295952299 |
| Entity Type | Individual |
| Full Name | MR. THEODORE SCOTT ANDERSON SR. |
| Credential | L.P.C. |
| Practice Address |
102-a Orange St. Suite 104 Oxford NC 27565 |
| Mailing Address |
4100 Ed Harris Rd Oxford NC 27565-7308 |
| Practice Telephone | 9196900777 |
| Mailing Telephone | 9196933566 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3729 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS ST. HEALTH PLAN | 015A3 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134178163 | Theodore Michael Anderson | Dentist | 3637 Wilgus Avenue, Sheboygan, WI 53081 | 2006-05-08 |
| 1740660034 | Theodore Anderson | Specialist | 5153 W Thunderbird Rd, Glendale, AZ 85306-4836 | 2015-06-02 |
| 1336447416 | Theodore A Anderson IIi | Counselor | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2011-03-14 |
| 1184842833 | Theodore Edward Anderson Iv | Counselor | 1839 S El Dorado St, Stockton, CA 95206-2025 | 2007-04-20 |
| 1245354752 | Theodore Starbuck Anderson Jr. | Pediatrics | 122 N Elm St, Suite 400, Greensboro, NC 27401-2878 | 2007-03-19 |
| 1699885970 | Theodore B Anderson | Physical Therapist | 472 Kaulana St, Kahului, HI 96732-2050 | 2006-08-30 |
| 1629011606 | Theodore L Anderson | Nurse Anesthetist, Certified Registered | 5100 W Tilghman St Ste 315, Allentown, PA 18104-9166 | 2006-06-14 |
| Street Address |
102-A ORANGE ST. SUITE 104 |
| City | OXFORD |
| State | NC |
| Zip Code | 27565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899978 | Kbccms, LLC | Counselor | 1501 Jackson Ave W Ste 113, Oxford, MS 38655-2566 | 2020-10-20 |
| 1407415052 | Mind Body Well Therapy, Pllc | Counselor | 160 Christian St, Oxford, CT 06478-1221 | 2019-06-07 |
| 1811453301 | Anna Davis Mahaffey | Counselor | 308 Enterprise Dr, Oxford, MS 38655-2944 | 2019-02-20 |
| 1598240814 | Jamie Rachael Taylor | Counselor | 224 County Road 303, Oxford, MS 38655-8357 | 2018-10-02 |
| 1912489311 | Jordyn Elyse Fisher | Counselor | 2b S Washington St, Oxford, MI 48371-4971 | 2018-08-31 |
| 1164915005 | Robyn Marie Ankawi | Counselor | 930 E Drahner Rd, Oxford, MI 48371 | 2018-06-13 |
| 1356858658 | Janna Coleman | Counselor | 507 Heritage Dr Ste 102, Oxford, MS 38655-5571 | 2018-01-08 |
| 1104378926 | Kayla Lynn Thrushman | Counselor | 2b. S. Washington Ave., Oxford, MI 48371 | 2016-10-27 |
| 1659746808 | Rosemary Ritterhaus | Counselor | 150 Stony Lake Dr, Oxford, MI 48371-6739 | 2015-12-13 |
| 1073907697 | Sally Sullivan | Counselor | 1202 Office Park Dr., Suite A, Oxford, MS 38655 | 2015-03-20 |
| Find all providers in OXFORD | ||||
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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.