KEVIN C ANDERSON (NPI# 1427150796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427150796 |
| Entity Type | Individual |
| Full Name | KEVIN C ANDERSON |
| Credential | MD |
| Practice Address |
100 Navarre Pl Ste 4440 South Bend IN 46601-1171 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746475300 |
| Practice Fax Number | 5746475305 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 01079147A | IN | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
01079147A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300006370 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1669867511 | Kevin Scott Anderson | Psychologist | 111 N Main St Ste 205, Austin, MN 55912-3474 | 2015-03-30 |
| 1306115787 | Kevin Anderson | Specialist | 614 E Rosewood Ln, Tavares, FL 32778-4879 | 2011-12-14 |
| 1508194366 | Kevin Anderson | Specialist/Technologist | 5151 Pacific Ave, Stockton, CA 95207-6370 | 2009-12-05 |
| 1427242478 | Kevin Kalin Anderson | Occupational Therapist | 7409 Oak Ct, Horace, ND 58047-9531 | 2007-09-04 |
| 1215138912 | Kevin M Anderson | Massage Therapist | 144 S Morton Ave, Apt A20, Morton, PA 19070-2059 | 2007-05-30 |
| 1285759001 | Kevin Anderson | Counselor | 2004 Essex St, Berkeley, CA 94703-2513 | 2007-03-20 |
| 1447307020 | Kevin Edward Anderson | Psychologist | 4609 Glendale Ave, Toledo, OH 43614-1910 | 2007-01-04 |
| 1255407144 | Kevin Mark Anderson | Dentist | 10428 Rt 47, Huntley, IL 60142-0156 | 2006-11-24 |
| 1861507675 | Kevin K Anderson | Physician Assistant | 530 N 250 W, Salina, UT 84654-0129 | 2006-08-20 |
| Street Address |
100 NAVARRE PL STE 4440 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691762 | Bryan Boyer | Orthopaedic Surgery | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2005-10-05 |
| 1801412085 | Katelyn J Yoder | Nurse Practitioner | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2020-06-23 |
| 1649736604 | Meghan M. Hart | Physician Assistant | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2019-02-14 |
| 1700303070 | Bethanie L Wrobleski | Nurse Practitioner | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2017-08-27 |
| 1225551591 | Melissa Demetriou | Nurse Practitioner | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2017-07-19 |
| 1285164285 | Allison Linea Hartman | Nurse Practitioner | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2017-06-13 |
| 1588014914 | Jeanna Geddes | Nurse Practitioner | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2016-06-16 |
| 1093000366 | Gregg M Ebersole | Orthopaedic Surgery | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2011-06-15 |
| 1407014442 | Joel M Post | Orthopaedic Surgery | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2008-05-27 |
| 1134399025 | Charisse D Johnson | Pediatrics | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2008-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982861522 | James Flynn | Orthopaedic Surgery | 53880 Carmichael Dr, South Bend, IN 46635-1567 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801235429 | Adam Michael Huff | Orthopaedic Surgery | 1400 N Ritter Ave Ste 510, Indianapolis, IN 46219 | 2013-06-17 |
| 1366762718 | Advanced Orthopaedic Foot and Ankle Clinic of Indiana Inc | Orthopaedic Surgery | 1438 Aggie Ln, Indianapolis, IN 46260-4098 | 2010-06-08 |
| 1417287970 | Athelite Orthopedics and Sports Medicine, LLC | Orthopaedic Surgery | 365 S Park Ridge Rd, Suite 102, Bloomington, IN 47401-8361 | 2010-01-06 |
| 1295908929 | Jeffrey Schabler | Orthopaedic Surgery | 2113 E 62nd St # 210, Indianapolis, IN 46220-2311 | 2008-04-02 |
| 1407841463 | Wendy K Kennedy | Orthopaedic Surgery | 1024 S 6th St, Suite 102, Terre Haute, IN 47807-5015 | 2005-09-15 |
| 1205294907 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2016-02-09 |
| 1003148685 | Medical Specialists Inc., PC | Orthopaedic Surgery | 9034 Columbia Ave, Munster, IN 46321-2905 | 2010-02-05 |
| 1235462540 | Melanie Sanders | Orthopaedic Surgery | 1199 Hadley Rd, Mooresville, IN 46158-1788 | 2009-09-18 |
| 1588671788 | Steven A Herbst | Orthopaedic Surgery | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2006-08-01 |
| 1538187950 | Scott J Trumble | Orthopaedic Surgery | 2310 California Road, Elkhart, IN 46514-1228 | 2006-07-17 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.