DOUGLAS ANDERSON (NPI# 1386621258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386621258 |
| Entity Type | Individual |
| Full Name | DOUGLAS ANDERSON |
| Credential | MD |
| Practice Address |
2160 S First Ave Maguire Center, Rm 1900 Maywood IL 60153 |
| Practice Telephone | 7082169000 |
| Practice Fax Number | 7082164948 |
| Mailing Telephone | 7082169000 |
| Mailing Fax Number | 7082164948 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2009-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 36057858 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 36057858 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183396 | Douglas Anderson | Occupational Therapy Assistant | 234 Carney St, Twin Falls, ID 83301-5010 | 2013-10-31 |
| 1639417983 | Douglas Alan Anderson | Internal Medicine | 11942 N 95th St, Scottsdale, AZ 85260-7133 | 2013-01-22 |
| 1184900292 | Douglas M Anderson | Pharmacist | 13 Lafayette St, Saco, ME 04072-2022 | 2011-11-02 |
| 1467667741 | Douglas M Anderson | Pharmacist | 4510 Jubilee Ct, Powder Springs, GA 30127-4946 | 2007-05-11 |
| 1972718310 | Douglas W Anderson | Dentist | 18160 Cottonwood Rd, Pmb 258, Sunriver, OR 97707 | 2007-05-11 |
| 1821157918 | Douglas M Anderson | Dentist | 2651 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-8966 | 2006-12-06 |
| 1568565109 | Douglas M Anderson | Social Worker | 701 Richmond Ave, Houston, TX 77006-5511 | 2006-09-07 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1477554095 | Douglas Calvin Anderson Jr. | Pharmacist | 1712a E Broad Ave, East Albany Medical Center, Albany, GA 31705-2611 | 2005-08-04 |
| 1750381851 | Douglas L Anderson | Psychologist | 2109 S Norton Ave, Sioux Falls, SD 57105-3730 | 2005-07-29 |
| Street Address |
2160 S FIRST AVE MAGUIRE CENTER, RM 1900 |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497732747 | Rodney Tehrani | Internal Medicine | 2160 S First Ave, (luh-north Ent., Rm. 7604), Maywood, IL 60153 | 2005-12-28 |
| 1013448901 | Erin Rebecca Fiedler | Psychiatry & Neurology | 2160 S First Ave, Loyola University Medical Gme Office 105/2840, Maywood, IL 60153 | 2017-03-23 |
| 1477917698 | Judy A Trieu | Internal Medicine | 2160 S First Ave, Building 54- Suite 167, Maywood, IL 60153 | 2016-04-13 |
| 1285977348 | Mackenzie Marie Sward | Ophthalmology | 2160 S First Ave, Loyola University Medical Center Dept of Ophthalmology, Maywood, IL 60153-6809 | 2013-03-27 |
| 1689822231 | Sean O'donnell | Surgery | 2160 S First Ave, Loyola Medical Center Department of Surgery, Maywood, IL 60153 | 2008-09-08 |
| 1730336652 | Lara Bakhos | Internal Medicine | 2160 S First Ave, Maywood, IL 60153 | 2008-08-21 |
| 1831353788 | Justin Spackey | Radiology | 2160 S First Ave, Maywood, IL 60153 | 2008-07-10 |
| 1821257833 | Neha Sheth Dasmunshi | Anesthesiology | 2160 S First Ave, Maywood, IL 60153-3328 | 2008-06-04 |
| 1629290655 | Mark E Cichon | Emergency Medicine | 2160 S First Ave, Ems Bldg. Rm. 2700, Maywood, IL 60153 | 2007-05-02 |
| 1396878682 | Donna Mccormack | Nurse Practitioner | 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565858 | Isaac Bing-yi Ng | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-30 |
| 1104387166 | Ronak H Jani | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-30 |
| 1992265383 | Nathan Christopher Pecoraro | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-21 |
| 1215496443 | John Ta-hsiang Tsiang | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-18 |
| 1417451121 | Brandon Michael Zsigray | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153 | 2018-03-19 |
| 1376997197 | Miri Kim | Neurological Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2016-04-18 |
| 1013393305 | Ignacio Jusue Torres | Neurological Surgery | 2160 S 1st Ave, Building 1900, Maywood, IL 60153-3328 | 2015-08-10 |
| 1568856656 | Michael Jones | Neurological Surgery | 2160 S 1st Ave, Maguire Building, Room 1900, Maywood, IL 60153-3328 | 2015-03-26 |
| 1457778599 | Daphne Li | Neurological Surgery | 2160 South First Ave, Maywood, IL 60153 | 2014-03-26 |
| 1225370521 | Ryan Christopher Hofler | Neurological Surgery | 2160 S 1st Ave, Loyola Outpatient Center, 4300, Maywood, IL 60153-3328 | 2013-03-25 |
| Find all providers in MAYWOOD | ||||
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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.