SAMUEL MICHAL ANDERSON (NPI# 1659767887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659767887 |
Entity Type | Individual |
Full Name | SAMUEL MICHAL ANDERSON |
Credential | MD |
Practice Address |
Po Box 31581 Phoenix AZ 85046-1581 |
Mailing Address |
5300 Antequera Rd Nw Apt 1906 Albuquerque NM 87120-4588 |
Practice Telephone | 6022287206 |
Mailing Telephone | 6022287206 |
Enumeration Date | 2015-04-14 |
Last Update Date | 2018-02-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 54241 | AZ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720180235 | Samuel P. Anderson | Dentist | 271 S Pine St, Spartanburg, SC 29302-2626 | 2006-09-04 |
1013545367 | Samuel Tyler Anderson | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-03-31 |
1073152179 | Samuel Anderson | Pharmacist | 5370 E Hill Rd, Grand Blanc, MI 48439-8622 | 2020-01-06 |
1255800322 | Samuel Neal Anderson | Counselor | 624 Connell Park Ln, Baton Rouge, LA 70806-6534 | 2018-11-19 |
1851818819 | Samuel James Anderson | Social Worker | 6600 France Ave S, Edina, MN 55435-1805 | 2017-08-29 |
1770708554 | Samuel Dee Anderson | Anesthesiology | 2420 Camino Ramon, Ste. 270, San Ramon, CA 94583-4385 | 2007-04-16 |
1902883135 | Samuel R Anderson | Internal Medicine | 4895 Olentangy River Rd, Suite 100, Columbus, OH 43214-1926 | 2005-12-29 |
Street Address |
PO BOX 31581 |
City | PHOENIX |
State | AZ |
Zip Code | 85046-1581 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
1548861701 | Agape Love Community Center LLC | Public Health or Welfare | 2750 W Mcdowell Rd, Phoenix, AZ 85009-2605 | 2020-11-04 |
1396346557 | Prince Terrence C Woods | Home Health Aide | 15620 N 25th Ave Apt K209, Phoenix, AZ 85023-6514 | 2020-11-04 |
1154922615 | Gift of Hearts Home LLC | Counselor | 4547 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-11-02 |
1215538806 | Life N Love Wellness Inc | Behavior Technician | 4050 E Cotton Center Blvd Ste 77, Phoenix, AZ 85040-8865 | 2020-11-02 |
1184224917 | Lauren Lyell | Registered Nurse | 1249 E Tonto Ln, Phoenix, AZ 85024-1770 | 2020-10-30 |
1891395604 | Helping Handz Counseling Services Outpatient Treatment Center Corp | Counselor | 3930 N 30th Ave, Phoenix, AZ 85017-4607 | 2020-10-30 |
1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
1841890969 | Kristen Cox | Nurse Practitioner | 35714 N 34th Ln, Phoenix, AZ 85086-2264 | 2020-10-28 |
1942800966 | Yibu Liu | Assisted Living Facility | 3569 E Utopia Rd, Phoenix, AZ 85050-3967 | 2020-10-28 |
Find all providers in PHOENIX |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346760261 | Mallory Jody Murray | General Practice | 7000 E Mayo Blvd Ste 1020, Phoenix, AZ 85054-6152 | 2017-06-21 |
1265972269 | Md Assist, Inc. | General Practice | 7117 N 3rd St, Phoenix, AZ 85020-4902 | 2017-02-24 |
1861872756 | Keith King | General Practice | 6210 W Earll Dr, Phoenix, AZ 85033-5843 | 2015-06-04 |
1982090338 | Arizona Bleeding Disorders Health and Wellness Center | General Practice | 821 N 5th Ave, Phoenix, AZ 85003-1315 | 2015-04-13 |
1205238896 | Svelte LLC | General Practice | 2211 E Highland Ave Ste 215, Phoenix, AZ 85016-4834 | 2014-09-25 |
1760890131 | Emmitt Michael Thompson | General Practice | 822 West Earll Drive, Phoenix, AZ 85013 | 2014-07-29 |
1699104539 | Richard Fink | General Practice | 1037 E Baseline Rd, Phoenix, AZ 85042-6618 | 2013-11-01 |
1982031795 | Latino Care, LLC | General Practice | 3140 N 35th Ave, Suite 7, Phoenix, AZ 85017-5270 | 2013-10-11 |
1669730156 | Lifelink Inc | General Practice | 3039 W Peoria Ave Ste 102-125, Phoenix, AZ 85029-5212 | 2012-05-02 |
1033482435 | Kody Medical PC | General Practice | 11627 N 12th Pl, Phoenix, AZ 85020-1222 | 2012-02-15 |
Find all providers in PHOENIX |
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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.