JONATHAN S ANDERSON (NPI# 1568696342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568696342 |
| Entity Type | Individual |
| Full Name | JONATHAN S ANDERSON |
| Credential | M.D. |
| Practice Address |
2402 Winnebago St Madison WI 53704 |
| Mailing Address |
7974 Uw Health Ct Middleton WI 53562-5531 |
| Practice Telephone | 6082426850 |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 55300-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1568696342 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1821 S Stoughton Rd, Madison, WI 53716 | 6082606000 | 6082606451 |
| 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 |
| 1356775969 | Jonathan Edward Anderson | Pediatrics | 1750 Thompson Rd, Coos Bay, OR 97420-2100 | 2013-08-30 |
| 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 |
| Street Address |
2402 WINNEBAGO ST |
| City | MADISON |
| State | WI |
| Zip Code | 53704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063480895 | Patricia L Deffner-valley | Pediatrics | 2402 Winnebago St, Madison, WI 53704-5341 | 2006-03-09 |
| 1346729662 | Shannon Marie Smith | Nurse Practitioner | 2402 Winnebago St, Madison, WI 53704 | 2018-08-08 |
| 1104351915 | Victoria Gail Gillet | Internal Medicine | 2402 Winnebago St, Madison, WI 53704-5341 | 2017-04-30 |
| 1700310166 | Evan T Nolander | Family Medicine | 2402 Winnebago St, Madison, WI 53704-5341 | 2017-04-12 |
| 1659822815 | Sarah Coffey | Physician Assistant | 2402 Winnebago St, Madison, WI 53704-5341 | 2016-10-21 |
| 1679935951 | Megan Elizabeth Yanny | Pediatrics | 2402 Winnebago St, Madison, WI 53704-5341 | 2016-03-24 |
| 1871970731 | Matthew J Davis | Pediatrics | 2402 Winnebago St, Madison, WI 53704-5341 | 2015-04-29 |
| 1790103919 | Johanna Christine Streyle | Internal Medicine | 2402 Winnebago St, Madison, WI 53704-5341 | 2014-04-03 |
| 1700155512 | Andrea Poist Bird | Social Worker | 2402 Winnebago St, Madison, WI 53704-5341 | 2011-12-22 |
| 1073719175 | Krystal J Boardman | Nurse Practitioner | 2402 Winnebago St, Madison, WI 53704-5341 | 2007-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718560 | Kevin Mcdonald | Internal Medicine | Uw Hospitals and Clinic 600 Highland Ave, Madison, WI 53792-0001 | 2020-04-03 |
| 1063927465 | Healthcare Plus Limited Liability Company | Internal Medicine | 315 Summer Oak Trl, Madison, MS 39110-9147 | 2017-12-07 |
| 1326575168 | Jacob Ira Morgan | Internal Medicine | 104 Perry Williams Rd, Madison, MS 39110-8307 | 2017-05-11 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1104266600 | Samih Khauli | Internal Medicine | 822 E Washington Ave Apt 900, Madison, WI 53703-6511 | 2013-06-28 |
| 1336586502 | Susan Mary O'malley | Internal Medicine | 869 Boston Post Rd, Madison, CT 06443-3144 | 2013-05-29 |
| 1962753855 | Karl Winfield Hatten Sr. | Internal Medicine | 117 Greens View Dr, Madison, MS 39110-8050 | 2012-10-02 |
| 1497019863 | Kristen Crawford | Internal Medicine | 401 Baptist Dr Ste 104, Madison, MS 39110-2010 | 2012-06-29 |
| 1114281680 | Meghan Poole | Internal Medicine | 106 Highland Way Ste 103, Madison, MS 39110 | 2012-06-29 |
| 1215202056 | Arthur Decillis | Internal Medicine | 80 Devonshire Ln, Madison, CT 06443-1681 | 2012-03-13 |
| Find all providers in MADISON | ||||
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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.