IAN CHURCHILL ANDERSON


Address: 3555 Round Barn Cir, Santa Rosa, CA 95403
Phone: 7075281050

IAN CHURCHILL ANDERSON (NPI# 1518055573) 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) 1518055573
Entity Type Individual
Full Name IAN CHURCHILL ANDERSON
Credential M.D.
Practice Address 3555 Round Barn Cir
Santa Rosa
CA 95403
Mailing Address 3555 Round Barn Cir
Santa Rosa
CA 95403-1757
Practice Telephone 7075281050
Mailing Telephone 7075281050
Mailing Fax Number 7075253874
Enumeration Date 2006-10-11
Last Update Date 2018-08-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0000X Internal Medicine
Specialization: Hematology
A49481 CA Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
A49481 CA Allopathic & Osteopathic Physicians
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
A49481 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A494810 05

Other Providers IAN ANDERSON

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
1346409109 Ian P Anderson Internal Medicine 825 Barret Ave, Louisville, KY 40204-1743 2008-06-06
1629277678 Ian Scott Anderson Anesthesiology 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 2007-07-11

Office Location

Street Address 3555 ROUND BARN CIR
City SANTA ROSA
State CA
Zip Code 95403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932190949 Lorraine A Champion Specialist 3555 Round Barn Cir, Santa Rosa, CA 95403 2005-10-31
1043608805 St Jude Hospital Yorba Linda Durable Medical Equipment & Medical Supplies 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 2015-01-02
1376963314 St Jude Hospital Yorba Linda Internal Medicine 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 2014-04-17
1770743312 Sara Ann Keck Internal Medicine 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 2008-06-16
1962587444 Redwood Regional Medical Group, Inc. Clinical Medical Laboratory 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 2006-10-25
1972683753 Theresa Louise Mortensen Nurse Practitioner 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 2006-10-16
1801986641 Ralph Bailey Hanahan Radiology 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 2006-10-13
1376633149 Wes Shen-lin Lee Internal Medicine 3555 Round Barn Cir, Santa Rosa, CA 95403 2006-10-13
1861582322 Cindy Okada Scharfen Radiology 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 2006-10-13
1013018035 Jarrod Paul Holmes Internal Medicine 3555 Round Barn Cir, Santa Rosa, CA 95403 2006-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912549841 Abundance Acupuncture Healing Clinic Acupuncturist 3410 Mendocino Avenue, Santa Rosa, CA 95403 2019-10-11
1982161337 Crystal J Ward Registered Nurse 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 2019-02-21
1033674379 George Edward Griese Respiratory Therapist, Registered 501 Bicentennial Way, Santa Rosa, CA 95403 2019-01-31
1508320672 East-west Natural Medicine Inc. Acupuncturist 2200 Range Ave #207, Santa Rosa, CA 95403 2019-01-23
1316410640 Lionel C Cooper Counselor 315 Mark West Springs Road, Santa Rosa, CA 95403 2019-01-09
1326519182 Jkb Solutions Inc. In Home Supportive Care 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 2018-12-05
1487121265 Catholic Charities of The Diocese of Santa Rosa Clinic/Center 987 Airway Ct, Santa Rosa, CA 95403 2018-10-30
1447746524 Lisa Jean Quang Optometrist 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 2018-07-02
1598253353 Jennifer Renee Lummus Community Health Worker 3614 Condo Court, Santa Rosa, CA 95403 2018-04-27
1871042366 Sadie Thuet Marriage & Family Therapist 3434 A Mendocino Ave, Santa Rosa, CA 95403 2016-09-26
Find all providers in zip 95403

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669510665 Jeffrey Z. Ye Internal Medicine 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2007-02-02
1700960788 Shafqat M. Akhtar Internal Medicine 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-25
1619051695 Fan Zhang Internal Medicine 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-25
1659455640 Nicolaj Andersen Internal Medicine 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-25
1013018035 Jarrod Paul Holmes Internal Medicine 3555 Round Barn Cir, Santa Rosa, CA 95403 2006-09-25
1326060617 Helen Collins Internal Medicine 121 Sotoyome St, Santa Rosa, CA 95405-4823 2006-07-24
1679590509 Marek Bozdech Internal Medicine 121 Sotoyome St, Santa Rosa, CA 95405-4823 2006-07-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750999140 Kamalesh K Sankhala Md Inc Internal Medicine 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 2020-07-21
1396365144 Collin Vu Md, Inc. Internal Medicine 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 2020-04-22
1720626757 Fenix Health Medical Oncology Group PC Internal Medicine 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 2019-12-20
1871141598 Edward A, Wagner, M.d., Inc. Internal Medicine 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 2019-08-27
1255988341 Christopher Lemieux Internal Medicine 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 2019-08-22
1063972131 Titfany Wang Internal Medicine 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 2019-03-23
1649736687 Adventist Health Physicians Network Internal Medicine 95 Declaration Dr Ste 1, Chico, CA 95973-4916 2019-02-14
1518433762 Teamx Medical Group Internal Medicine 7253 N Cherry Ln, Van Nuys, CA 91405-5477 2018-10-15
1508352675 Oncology Physicians Network of California PC Internal Medicine 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 2018-07-02
1881184026 R.w. Weber, M.d., A Medical Corporation Internal Medicine 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 2018-05-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City SANTA ROSA
Zip Code 95403

Improve Information

Please comment or provide details below to improve the information on IAN CHURCHILL ANDERSON.

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.

Trending Searches