DR. JONATHAN EDWARD ANDERSON (NPI# 1356775969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356775969 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN EDWARD ANDERSON |
| Credential | M.D. |
| Practice Address |
1750 Thompson Rd Coos Bay OR 97420-2100 |
| Practice Telephone | 5412690333 |
| Practice Fax Number | 5412697389 |
| Mailing Telephone | 5412690333 |
| Mailing Fax Number | 5412697389 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2016-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD177500 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396122362 | Jonathan Anderson | Counselor | 1655 N Arlington Heights Rd Ste 301w, Arlington Heights, IL 60004-3900 | 2015-04-29 |
| 1629114780 | Jonathan F. Anderson | Counselor | 3355 Bee Cave Rd Ste 505, West Lake Hills, TX 78746-6682 | 2007-01-29 |
| 1902848955 | Jonathan Scott Anderson | Dentist | 17350 State Highway 249, Ste 200, Houston, TX 77064-1147 | 2006-06-12 |
| 1124079934 | Jonathan P Anderson | Optometrist | 225 W Ashland, Ste 1, Indianola, IA 50125 | 2006-05-15 |
| 1346226958 | Jonathan Hal Anderson | Urology | 770 Medical Park Dr, Aiken, SC 29801-6307 | 2005-12-16 |
| 1588664916 | Jonathan Anderson | Family Medicine | 2720 N Harbor Blvd, Suite 200, Fullerton, CA 92835 | 2005-07-28 |
| 1598248478 | Jonathan Walter Anderson II | Physician Assistant | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2018-09-07 |
| 1548526254 | Jonathan B Anderson | Nurse Anesthetist, Certified Registered | 824 N 11th St, Montevideo, MN 56265-1629 | 2012-04-06 |
| 1699042697 | Jonathan Anderson | Marriage & Family Therapist | 5900 E Central Ave, Suite 101, Wichita, KS 67208-4240 | 2011-11-19 |
| 1669601191 | Jonathan O Anderson | Emergency Medicine | 86 W Underwood St, Suite 200, Orlando, FL 32806-1110 | 2009-07-06 |
| Street Address |
1750 THOMPSON RD |
| City | COOS BAY |
| State | OR |
| Zip Code | 97420-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004365 | Andrew Rowe Maslona | Internal Medicine | 1750 Thompson Rd, Coos Bay, OR 97420 | 2005-06-21 |
| 1679181069 | Jodi Sue Tavernier | Case Manager/Care Coordinator | 1750 Thompson Rd, Coos Bay, OR 97420-2195 | 2020-07-21 |
| 1477161206 | Sarah Brady | Case Manager/Care Coordinator | 1750 Thompson Rd, Coos Bay, OR 97420-2195 | 2020-07-17 |
| 1508490400 | Trisha Gederos | Social Worker | 1750 Thompson Rd, Coos Bay, OR 97420-2195 | 2020-02-28 |
| 1568096188 | Heath Gerig | Nurse Practitioner | 1750 Thompson Rd, Coos Bay, OR 97420-2100 | 2020-02-24 |
| 1710527726 | Sara Ferrell | Social Worker | 1750 Thompson Rd, Coos Bay, OR 97420-2195 | 2020-01-08 |
| 1295245108 | Davina Lynn Bledsoe | Family Medicine | 1750 Thompson Rd, Coos Bay, OR 97420-2195 | 2017-10-05 |
| 1518312362 | Sarah Marie Strawn | Acupuncturist | 1750 Thompson Rd, Coos Bay, OR 97420-2195 | 2016-04-29 |
| 1982088464 | Alex Michael Spencer | Surgery | 1750 Thompson Rd, Coos Bay, OR 97420-2195 | 2015-07-15 |
| 1720483266 | Jason Hayes | Nurse Practitioner | 1750 Thompson Rd, Coos Bay, OR 97420-2100 | 2014-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880606 | Danielle Goette | Massage Therapist | 320 Central Ave Suite 226, Coos Bay, OR 97420 | 2020-01-14 |
| 1730643735 | Nicole Hand-therapeutic Massage | Massage Therapist | 3229 Broadway Avenue, Suite D, Coos Bay, OR 97420 | 2019-01-24 |
| 1528531100 | A Better Reality | Clinic/Center | 2690 N. 17th Sstreet, Coos Bay, OR 97420 | 2019-01-07 |
| 1396216883 | Elizabeth Rose Stephens | Health Educator | 97381 Newport Lane, Coos Bay, OR 97420 | 2018-12-10 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1285091884 | Richard T Rigney | Counselor | 62754 Karl Road, Coos Bay, OR 97420 | 2016-01-27 |
| 1821493032 | James Thomas Agee | Pharmacist | 2051 Newmark Avenue, Walmart Pharmacy 1880, Coos Bay, OR 97420 | 2014-10-30 |
| 1346663895 | Steven D. Richardson D.m.d. L.l.c | Dentist | 1835 Ocean Blvd Se, Coos Bay, OR 97420 | 2014-02-03 |
| 1144669243 | Michael Jason Cole | Pharmacist | 1020 South First Ave, Coos Bay, OR 97420 | 2013-06-21 |
| 1639518053 | Jonathan Thomas Small | Physical Therapist | 2645 North 17th St, Coos Bay, OR 97420 | 2013-06-19 |
| Find all providers in zip 97420 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912209883 | Dr. Mike & Friends Pediatrics PC | Pediatrics | 1925 Thompson Rd, Coos Bay, OR 97420-2040 | 2010-11-29 |
| 1518105105 | Angelique Murphy | Pediatrics | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2009-02-04 |
| 1023253358 | Maynika Vani Rastogi | Pediatrics | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2008-12-16 |
| 1306097555 | Dale Preston Henken | Pediatrics | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2008-10-07 |
| 1275720054 | Kariktan Cruz | Pediatrics | 1900 Woodland Dr, Coos Bay, OR 97420-2045 | 2007-09-26 |
| 1427103472 | Charles H Toledo | Pediatrics | 1750 Thompson Rd, Coos Bay, OR 97420-2100 | 2007-01-23 |
| 1124123351 | Kevin H Molteni | Pediatrics | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2006-09-13 |
| 1164432522 | Mary Lynn Moore | Pediatrics | 1750 Thompson Rd, Coos Bay, OR 97420 | 2006-08-09 |
| 1932159159 | Nancy Altamirano | Pediatrics | 1900 Woodland Dr, Coos Bay, OR 97420-2099 | 2006-05-10 |
| 1669457883 | Carla Dawn Mckelvey | Pediatrics | 1900 Woodland Dr, Coos Bay, OR 97420-0000 | 2005-12-09 |
| Find all providers in COOS BAY | ||||
Please comment or provide details below to improve the information on DR. JONATHAN EDWARD ANDERSON.
| 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.