IAN P ANDERSON


Address: 825 Barret Ave, Louisville, KY 40204-1743
Phone: 5025407200

IAN P ANDERSON (NPI# 1346409109) 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) 1346409109
Entity Type Individual
Full Name IAN P ANDERSON
Credential MD
Practice Address 825 Barret Ave
Louisville
KY 40204-1743
Mailing Address Po Box 776351
Chicago
IL 60677-6351
Practice Telephone 5025407200
Practice Fax Number 5025407207
Mailing Telephone 5025889490
Mailing Fax Number 5022725116
Enumeration Date 2008-06-06
Last Update Date 2018-03-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine TP861 KY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
KY PASSPORT - NCMA 50033806 01
KY SIHO - NCMA 126735 01
KY ANTHEM - NCMA 000000718931 01
IN MEDICAID - NCMA 201033230 01
KY 7100164430 05
KY HUMANA - NCMA 000057120R 01
IN 7100164430 05

Other Providers IAN ANDERSON

NPI Name Taxonomy Address Enumeration
1447769997 Ian Radford Anderson Physical Therapist 315 Medical Pkwy Ste 150, Greer, SC 29650-2456 2017-09-28
1962053314 Ian Anderson Counselor 321 E Main St Ste 418, Bozeman, MT 59715-4702 2019-09-26
1134607534 Ian Gerard Anderson Hearing Instrument Specialist 5602 Cortez Rd W, Bradenton, FL 34210-2819 2018-07-30
1821508268 Ian Anderson Specialist/Technologist 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 2017-10-11
1669884433 Ian Jacob Anderson Pathology 22101 Moross Rd # Ccb-sb, Detroit, MI 48236-2148 2014-05-28
1629277678 Ian Scott Anderson Anesthesiology 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 2007-07-11
1518055573 Ian Churchill Anderson Internal Medicine 3555 Round Barn Cir, Santa Rosa, CA 95403 2006-10-11

Office Location

Street Address 825 BARRET AVE
City LOUISVILLE
State KY
Zip Code 40204-1743

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053394544 Debra Lynn Marshall Internal Medicine 825 Barret Ave, Louisville, KY 40204-1743 2005-11-29
1114443066 Dee Lynda Paradowski Dietitian, Registered 825 Barret Ave, Louisville, KY 40204 2017-08-22
1275916561 Richard Gibson Family Medicine 825 Barret Ave, Louisville, KY 40204-1743 2015-07-04
1417353533 Sarah Coulter Nurse Practitioner 825 Barret Ave, Louisville, KY 40204-1743 2014-11-17
1487906509 Nicole Rayanne Bikowski Nurse Practitioner 825 Barret Ave, Louisville, KY 40204-1743 2012-10-12
1063725273 Shastine M Sharp Family Medicine 825 Barret Ave, Louisville, KY 40204-1743 2010-07-16
1649591686 Monalisa Mohan Tailor Internal Medicine 825 Barret Ave, Louisville, KY 40204-1743 2010-06-14
1255483558 Layla Nadir Al-shami Nurse Practitioner 825 Barret Ave, Louisville, KY 40204-1743 2007-01-17
1659444735 Will W Ward Jr. Internal Medicine 825 Barret Ave, Louisville, KY 40204-1743 2006-11-16
1790740199 Priscilla A Villaroman Internal Medicine 825 Barret Ave, Louisville, KY 40204-1743 2006-04-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619434974 Paladina Health, LLC Family Medicine Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 2019-02-22
1821317975 Abby Fowler Social Worker 1357 Bardstown Rd, Louisville, KY 40204 2010-05-27
1033317441 Katrina Laflesh Counselor 914 East Broadway, 3rd Floor, Louisville, KY 40204 2007-07-06
1770790891 Richard Brooks Counselor 914 East Broadway 1st, Louisville, KY 40204 2007-05-17
1447302922 Walden Chiropractic Psc Chiropractor 1072 Bardstown Road, Louisville, KY 40204 2007-01-17
1053485938 Hanger Prosthetics & Orthotics East Inc Durable Medical Equipment & Medical Supplies 1023 E Broadway, Louisville, KY 40204 2006-11-20
1710072137 Sandra L. Payne Dentist John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 2006-10-03
1013017482 Bonnie L Varisco Social Worker 914 E. Broadway, 2nd, Louisville, KY 40204 2006-09-25
1902854334 Kevin B Spicer Pediatrics 834 E Broadway, Louisville, KY 40204 2006-05-05
1992777213 Donna Maclain Stewart Pathology Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 2006-02-02
Find all providers in zip 40204

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689280216 Hmps Internal Medicine of West Louisville Pllc Internal Medicine 2730 Brownsboro Rd Apt 164, Louisville, KY 40206-1268 2020-09-18
1174085203 New Hope Recovery LLC Internal Medicine 2503 Bush Ridge Dr Ste A, Louisville, KY 40245-5885 2019-04-06
1619452364 Peak Internal Medicine Internal Medicine 400 S Mccaslin Blvd Ste 200, Louisville, CO 80027-9701 2018-09-28
1245729870 Mark Louis Siefring Internal Medicine 842 Parkway Dr, Louisville, KY 40217-2456 2018-05-09
1306341417 Louisville Primary Care Internal Medicine 801 Barret Ave Ste 112, Louisville, KY 40204-1732 2018-03-29
1467966143 Ray Richard Taylor Internal Medicine 1618 Polo Club Ct, Louisville, KY 40245-4482 2017-11-17
1972024768 Paridhi Mathur Internal Medicine 6801 Dixie Hwy Ste 40258, Louisville, KY 40258-3913 2017-06-30
1780115998 Preston Urgent Care, Inc Internal Medicine 4822 Preston Hwy, Louisville, KY 40213-2226 2017-03-21
1255873832 Belissa Malier Ramos Chaves Internal Medicine 550 S Jackson St Bldg A, Louisville, KY 40202-1622 2016-11-14
1326499161 Cristina Salmon Internal Medicine 550 S Jackson St Rm A3r40, Louisville, KY 40202-1622 2016-06-23
Find all providers in LOUISVILLE

Competitor

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City LOUISVILLE
Zip Code 40204

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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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