JEFFREY ALAN ANDERSON (NPI# 1326371212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326371212 |
| Entity Type | Individual |
| Full Name | JEFFREY ALAN ANDERSON |
| Credential | PA-C |
| Practice Address |
410 Sheridan Ave - 529th Rsc Attn: Regimental Aid Station Fort Myer VA 22211 |
| Mailing Address |
Dilorenzo Tricare Health Clinic 5801 Army Pentagon, Corridor 8, Room 114 Washington DC 20310-0001 |
| Practice Telephone | 7036967992 |
| Practice Fax Number | 7036965083 |
| Mailing Telephone | 7036928858 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2015-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326524596 | Jeffrey Anderson | Dentist | 2304 E Bidwell St # 100, Folsom, CA 95630-3455 | 2018-07-11 |
| 1295238830 | Jeffrey Todd Anderson | Occupational Therapist | 100 Woodbrook Dr, Charlottesville, VA 22901-1147 | 2018-03-09 |
| 1902263700 | Jeffrey Anderson | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-01-25 |
| 1891151015 | Jeffrey Anderson | Counselor | 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 | 2016-01-04 |
| 1801294558 | Jeffrey Paul Anderson | Registered Nurse | 1992 S Gregg Rd, Akron, OH 44319-1306 | 2014-12-11 |
| 1013336890 | Jeffrey Anderson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Box 356410, University of Washington, Department of Surgery, Seattle, WA 98195 | 2014-04-09 |
| 1700223708 | Jeffrey Davis Anderson | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2013-05-30 |
| 1659608578 | Jeffrey G. Anderson | Spec/Tech, Pathology | Psc 461, Medical Unit, Fpo, AP 96521-0050 | 2009-11-13 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| 1013121631 | Jeffrey Wade Anderson | Occupational Therapist | 3011 North Center Road, Briarwood Manor, Flint, MI 48506 | 2007-05-10 |
| Street Address |
410 SHERIDAN AVE - 529TH RSC ATTN: REGIMENTAL AID STATION |
| City | FORT MYER |
| State | VA |
| Zip Code | 22211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113306 | Caroline Vickers | Physician Assistant | Radar Us Army Health Clinic, 401 Carpenter Road, Fort Myer, VA 22211 | 2018-11-20 |
| 1194706820 | Joel Margolis | Podiatrist | 525 Carpenter Road, Rader Clinic, Ft. Myer, VA 22211 | 2005-11-09 |
| 1891772976 | Camille B Diclerico | Registered Nurse | 401 Carpenter Rd, Rader Army Clinic, Fort Myer, VA 22211 | 2005-12-29 |
| 1124000492 | Peter Contos II | Physical Therapist | 401 Carpenter Road, Building #525, Arlington, VA 22211 | 2005-11-14 |
| 1205817962 | Sharon L Gray | Social Worker | 525 Carpenter Road, Fort Myer, VA 22211 | 2005-11-09 |
| 1225028590 | Marvin E Bloom | Family Medicine | 450 Carpenter Rd, Rader Clinic, Ft Myer, VA 22211-1008 | 2005-10-26 |
| 1033533039 | Jacqueline H Ware | Pharmacist | 401 Carpenter Road, Bldg 525, Andrew Rader Us Army Health Clinic, Ft Myer, VA 22211-1009 | 2014-02-11 |
| 1306149182 | Crystal Lynn Sims | Physical Therapist | 401 Carpenter Rd Ste 1, Fort Myer, VA 22211-1009 | 2010-12-16 |
| 1386620680 | Jeffery Scott Porter | Pediatrics | 401 Carpenter Rd Bldg 525, Room 120, Fort Myer, VA 22211-1009 | 2005-12-19 |
| 1457349482 | Thomas Joseph Decoster | Counselor | 401 Carpenter Rd, Ft Myer, VA 22211-1009 | 2005-10-13 |
| Find all providers in zip 22211 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
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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.