MR. JAMES RICHARD ANDERSON (NPI# 1588057319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588057319 |
| Entity Type | Individual |
| Full Name | MR. JAMES RICHARD ANDERSON |
| Credential | PA-C |
| Practice Address |
3676 Parker Blvd Pueblo CO 81008-2212 |
| Mailing Address |
P.o. Box 9000 Southern Colorado Clinic Pueblo CO 82008-9000 |
| Practice Telephone | 7195531802 |
| Mailing Telephone | 7195531802 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0004455 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554650 | James Richard Anderson | Technician | 2772 Latulle Ave, Huntington, WV 25702-1144 | 2020-10-01 |
| 1629699954 | James M Anderson | Licensed Practical Nurse | 3115 Nashville Hwy, Lancing, TN 37770-2681 | 2020-04-28 |
| 1457903148 | James Michael Anderson | Counselor | 132 Mount Vernon Ave, Pittsburgh, PA 15229-1929 | 2019-07-12 |
| 1588010540 | James Anderson | Student in an Organized Health Care Education/Training Program | 299 Smallwood Acres Ln, Mc Cormick, SC 29835-7717 | 2016-05-09 |
| 1316336308 | James Allen Anderson | Psychologist | 5636 Logan Ave S, Minneapolis, MN 55419-1512 | 2015-01-14 |
| 1528474368 | James Roger Anderson | Massage Therapist | 70 Main St, Northfield, MA 01360 | 2014-07-01 |
| 1528318078 | James S Anderson | Pharmacist | 1337 South Main St, Greenwood, SC 29646 | 2012-09-12 |
| 1144529298 | James Anderson | Acupuncturist | 30 Bogastow Brook Rd, 30 Bogastow Brook Rd., Sherborn, MA 01770-1261 | 2011-03-15 |
| 1356642615 | James D Anderson | Counselor | 2309 Woodfield Loop Se, Olympia, WA 98501-7510 | 2010-11-03 |
| 1699080887 | James Richard Anderson Jr. | Pharmacist | 3850 Bud Umphrey Rd, Altoona, AL 35952-0328 | 2010-08-11 |
| Street Address |
3676 PARKER BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001700 | Stephen D Bast | Physician Assistant | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2005-05-24 |
| 1255945960 | Jessica Marie Anaya | Nurse Practitioner | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2020-09-01 |
| 1023658713 | Havilah R. Spurlock | Nurse Practitioner | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2020-01-09 |
| 1033625314 | Jennifer Livingston | Nurse Practitioner | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2017-12-21 |
| 1588176341 | Kenneth Morris | Physical Medicine & Rehabilitation | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2017-11-01 |
| 1053770370 | Parkview Medical Center, Inc | Clinic/Center | 3676 Parker Blvd, Suite 140, Pueblo, CO 81008-2212 | 2016-02-15 |
| 1124495163 | Kyle Sanders | Physical Therapist | 3676 Parker Blvd, Suite 370, Pueblo, CO 81008-2212 | 2015-08-25 |
| 1942600150 | Adam Jennings | Physical Therapist | 3676 Parker Blvd, Suite 370, Pueblo, CO 81008-2212 | 2014-08-26 |
| 1023425386 | Amanda C Fadenrecht | Nurse Practitioner | 3676 Parker Blvd, Suite 260, Pueblo, CO 81008-2212 | 2014-07-18 |
| 1962831354 | Samuel Lawrence Widdowson | Nurse Practitioner | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356685747 | Dayna Rae Hochevar | Physician Assistant | 602 Brown Ave, Pueblo, CO 81004 | 2012-11-26 |
| 1164584686 | Michael S Walsh | Physician Assistant | 3116 N. Elizabeth, Pueblo, CO 81008 | 2006-12-14 |
| 1669033973 | Shelby Subry | Physician Assistant | 400 W 16th St, Pueblo, CO 81003-2745 | 2019-06-26 |
| 1003342981 | Vi T Pham | Physician Assistant | 1080 Chinook Ln, Pueblo, CO 81001-1850 | 2017-05-11 |
| 1679922777 | Gary Anthony Serravo | Physician Assistant | 400 W 16th St, Pueblo, CO 81003-2745 | 2016-06-09 |
| 1285040196 | Brittany Stadterman | Physician Assistant | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2014-07-11 |
| 1023342961 | Juan Carlos Herraez Sanchez | Physician Assistant | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2009-09-24 |
| 1083869754 | Ginger Rae Todd | Physician Assistant | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2008-11-22 |
| 1093982647 | Nancy Waller | Physician Assistant | 1339 S Pueblo Blvd, Pueblo, CO 81005-1508 | 2008-05-13 |
| 1659542926 | Marc A Williams | Physician Assistant | 1600 N Grand Ave Ste 310, Pueblo, CO 81003-2729 | 2008-03-14 |
| Find all providers in PUEBLO | ||||
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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.