PAUL KENNETH ANDERSON (NPI# 1578676664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578676664 |
Entity Type | Individual |
Full Name | PAUL KENNETH ANDERSON |
Credential | M.D. |
Practice Address |
4708 Alliance Blvd Ste 300 Baylor Medical Plaza 1 Plano TX 75093-5339 |
Practice Telephone | 9727586000 |
Practice Fax Number | 9727586001 |
Mailing Telephone | 9727586000 |
Mailing Fax Number | 9727586001 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2009-07-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | F4740 | TX | Allopathic & Osteopathic Physicians |
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
F4740 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 1237331-05 | 05 | |
TX | 123733102 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184188146 | Paul Taylor Anderson | Specialist/Technologist | 11672 Stockmeyer Dr, El Paso, TX 79936-0813 | 2019-01-24 |
1184096976 | Paul David Anderson Jr. | Home Health Aide | 118 Morell Dr, Simpsonville, SC 29681-4677 | 2015-10-20 |
1083850671 | Paul S Anderson | Counselor | 220 Vinita Rd, Nowata, OK 74048-9443 | 2009-01-02 |
1063663540 | Paul D. Anderson | Physical Therapist | 75 W Main Street Ct Ste 100, Alpine, UT 84004-5602 | 2008-10-02 |
1528250396 | Paul S Anderson | Anesthesiology | 128 Peachtree Ln Ste B, Advance, NC 27006-6783 | 2007-08-15 |
1871783050 | Paul Leroy Anderson Jr. | Dentist | 882 Lancaster Ave, Devon, PA 19333 | 2007-07-25 |
1508065939 | Paul Edward Anderson | General Practice | Harboldt Rd, Altamont, TN 37301 | 2007-07-16 |
1629113303 | Paul Stanley Anderson | Naturopath | 2150 N. 107th St, Suite 400, Seattle, WA 98133-9009 | 2007-02-21 |
1043351380 | Paul Dederick Anderson | Internal Medicine | 11272 Merritt St # F, Castroville, CA 95012-3422 | 2007-02-09 |
1659449098 | Paul Daniel Anderson | Dentist | 4778 Banning Ave, White Bear Lake, MN 55110-3264 | 2006-12-02 |
Street Address |
4708 ALLIANCE BLVD STE 300 BAYLOR MEDICAL PLAZA 1 |
City | PLANO |
State | TX |
Zip Code | 75093-5339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629401252 | Sarah Katherine Wuollet | Physician Assistant | 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 | 2013-08-19 |
1427376250 | Uzma Ahmad | Psychiatry & Neurology | 4708 Alliance Blvd Ste 300, Plano, TX 75093-5339 | 2010-05-04 |
1922275098 | Mahenaaz Haq | Internal Medicine | 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 | 2008-05-08 |
1366650772 | Christina Jean Kuo | Internal Medicine | 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 | 2007-05-18 |
1154423911 | Jeffrey Claypool Lilly | Internal Medicine | 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 | 2006-09-02 |
1992811335 | Rick Talley Waldo | Internal Medicine | 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 | 2006-08-21 |
1477669992 | Mark David Thieberg | Dermatology | 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 | 2006-08-21 |
1942316476 | Jack Charles Shelton | Internal Medicine | 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 | 2006-08-21 |
1881709376 | Joseph Herman Sample | Internal Medicine | 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 | 2006-08-21 |
1962518431 | Jeff Earl Taylor | Internal Medicine | 4708 Alliance Blvd Ste 300, Baylor Medical Plaza 1, Plano, TX 75093-5339 | 2006-08-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
Find all providers in zip 75093 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
---|---|---|---|---|
1780876466 | Aamer Agha | Internal Medicine | 6130 W Parker Rd Ste 516, Plano, TX 75093-8033 | 2007-08-15 |
1881624419 | Dick Paul Norgaard | Internal Medicine | 1600 W Plano Pkwy, Suite100, Plano, TX 75075-8643 | 2006-07-03 |
1669435889 | Gowri Balachandar | Internal Medicine | 4101 W. Spring Creek Pkwy., Suite 400, Plano, TX 75024-5321 | 2006-04-10 |
1871552224 | Son T Do | Internal Medicine | 3108 Midway Rd Ste 104, Plano, TX 75093 | 2006-03-22 |
1033178223 | Sindhu A Abraham | Internal Medicine | 3242 Preston Rd Ste 200, Plano, TX 75093-3311 | 2006-03-17 |
1871579169 | Grace C Vanesko | Internal Medicine | 3032 Communications Pkwy, Plano, TX 75093-8913 | 2005-12-19 |
1225663867 | North Texas Gi Hospitalists, LLC | Internal Medicine | 3901 W 15th St, Plano, TX 75075-7738 | 2020-03-04 |
1154652923 | Stuart Akerman | Internal Medicine | 3242 Preston Rd Ste 200, Plano, TX 75093-3311 | 2010-01-19 |
1629207550 | Christie Eae Park Choi | Internal Medicine | 3032 Communications Pkwy, Plano, TX 75093-8913 | 2009-07-13 |
1144463183 | Vincent Kuo | Internal Medicine | 3108 Midway Rd Ste 104, Plano, TX 75093 | 2009-04-07 |
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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.