SAMUEL MICHAL ANDERSON


Address: Po Box 31581, Phoenix, AZ 85046-1581
Phone: 6022287206

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 54241 AZ Allopathic & Osteopathic Physicians

Other Providers SAMUEL ANDERSON

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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

Office Location

Street Address PO BOX 31581
City PHOENIX
State AZ
Zip Code 85046-1581

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City PHOENIX
Zip Code 85046

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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.

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