KENNETH ROBERT ANDERSON


Address: 15701 State Road 50suite 101, Suite 101, Clermont, FL 34711
Phone: 3523947757

KENNETH ROBERT ANDERSON (NPI# 1467483867) 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) 1467483867
Entity Type Individual
Full Name KENNETH ROBERT ANDERSON
Credential M.D.
Practice Address 15701 State Road 50suite 101
Suite 101
Clermont
FL 34711
Mailing Address 12815 Katherine Cir
Clermont
FL 34711-6703
Practice Telephone 3523947757
Enumeration Date 2006-07-05
Last Update Date 2011-02-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME69071 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 378592100 05

Other Providers KENNETH ANDERSON

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1154469690 Kenneth William Anderson Optometrist 8048 San Miguel Canyon Rd, Salinas, CA 93907-1208 2007-02-04
1659434108 Kenneth W Anderson IIi Family Medicine 14451 Morningside Rd, Orland Park, IL 60462-7413 2006-12-18
1528075793 Kenneth Albert Anderson Anesthesiology 6605 Abercorn St Ste 108, Savannah, GA 31405-5896 2006-08-01
1215951611 Kenneth David Anderson Dentist 204 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 2006-07-27
1437172533 Kenneth L. Anderson IIi Family Medicine 1945 Garnet Ave, San Diego, CA 92109-3595 2006-07-26
1073569224 Kenneth Allen Anderson Physician Assistant 1321 N Center St, Hickory, NC 28601-2535 2006-05-26
1508825860 Kenneth Robert Anderson Dentist 132 N West St, Wichita, KS 67203 2006-03-23
1194792671 Kenneth Carl Anderson Internal Medicine 440 Binney St, Dana Farber Cancer Institute, Boston, MA 02115 2006-03-03

Office Location

Street Address 15701 STATE ROAD 50SUITE 101
SUITE 101
City CLERMONT
State FL
Zip Code 34711

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316546344 Latricia Richards-smith Nurse Practitioner 3301 Hancock Rd, Clermont, FL 34711 2020-10-21
1073130399 Marissa Johnston Behavioral Analyst 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 2020-07-02
1649839432 New Foundations Aba Therapy, LLC Community/Behavioral Health 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 2019-06-06
1275006504 Innovative Medical Management Solutions LLC Skilled Nursing Facility 1775 Hooks Street, Clermont, FL 34711 2019-01-09
1851867766 Chantal P Baptiste Nurse Practitioner 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 2018-10-17
1346739539 Jennifer Brennan Behavior Technician 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 2018-05-03
1689163966 Chelsea Strickland Physical Therapy Assistant 10037 Stockbridge St, Clermont, FL 34711 2018-05-02
1316448921 Dana Renee Ottalagano Counselor 1635 E Highway 50 Ste 204, Clermont, FL 34711 2018-02-28
1306353842 Center of Change Inc. General Practice 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 2018-01-05
1003328642 Clermont Radiology LLC Clinic/Center 3725 South Highway 27, Suite 104, Clermont, FL 34711 2017-11-03
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982217709 Sunshine Medical & Aesthetic Center Corporation Family Medicine 2113 Ruby Red Blvd Ste A, Clermont, FL 34714-6115 2020-08-31
1750901039 Elsa Iris Borrero Ortiz Family Medicine 1547 Pier St, Clermont, FL 34711-1942 2020-04-16
1780167007 Bright Care Medical Group LLC Family Medicine 245 Citrus Tower Blvd Ste 201, Clermont, FL 34711-1907 2018-09-12
1881065662 Federal Bureau of Prisons Family Medicine 2801 Falcon Rdg, Clermont, FL 34711-5892 2015-10-19
1548500812 Marholin Medical Institute LLC Family Medicine 17307 Pagonia Dr, Suite 100, Clermont, FL 34711-5932 2013-02-25
1730464686 Mark Winston Tidwell Family Medicine 1960 Brantley Cir, Clermont, FL 34711-2900 2011-10-11
1184912818 Extended Care Medical Services LLC Family Medicine 1730 E Hwy 50, Pmb 4, Clermont, FL 34711-2778 2011-07-15
1982997953 Adrianne Ferguson Family Medicine 1675 Hancock Rd, Suite 300, Clermont, FL 34711-7667 2011-05-24
1952546681 Clay Nordquist Family Medicine 2470 E Highway 50, Clermont, FL 34711-6016 2008-12-09
1659524304 Paul Kim Family Medicine 788 East Highland Ave, Clermont, FL 34711 2008-10-28
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Competitor

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City CLERMONT
Zip Code 34711

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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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