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).
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 |
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 |
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 |
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 |
Street Address |
825 BARRET AVE |
City | LOUISVILLE |
State | KY |
Zip Code | 40204-1743 |
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 |
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 Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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 |
City | LOUISVILLE |
Zip Code | 40204 |
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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.