ANTHONY ANDERSON (NPI# 1679524094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679524094 |
| Entity Type | Individual |
| Full Name | ANTHONY ANDERSON |
| Credential | MD |
| Practice Address |
1479a U.S. Highway 61 Festus MO 63028-4123 |
| Practice Telephone | 6369315533 |
| Practice Fax Number | 6369315502 |
| Mailing Telephone | 6369315533 |
| Mailing Fax Number | 6369315502 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 036119093 | IL | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | MDR7H67 | MO | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 036119093 | IL | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
036119093 | IL | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036119093 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BA3201326 | 01 | |
| MO | 205069909 | 05 | |
| IL | 036119093 | 05 | |
| MO | CDS | 200132704 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619427374 | Anthony Jamaal Anderson | Specialist | 295 Debuys Rd, Gulfport, MS 39507-2800 | 2016-10-06 |
| 1508021726 | Anthony J Anderson | Family Medicine | 1501 Hiland Ave Ste A, Burley, ID 83318-2682 | 2008-07-28 |
| 1760445514 | Anthony Shane Anderson | Internal Medicine | 1515 W Cornwallis Dr, Suite G103, Greensboro, NC 27408-6338 | 2006-04-11 |
| 1508466491 | Anthony Anderson | Pharmacist | 1140 E Stuart Dr, Galax, VA 24333-2630 | 2020-10-29 |
| 1073139663 | Anthony Anderson | Pharmacist | 2110 Stringtown Rd, Grove City, OH 43123-2931 | 2020-06-19 |
| 1710515986 | Anthony Davis Anderson | Pharmacist | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-04-01 |
| 1548723356 | Anthony Alan Anderson | Case Manager/Care Coordinator | 55 Bluff Lake Rd, Mascotte, FL 34753-9536 | 2019-04-09 |
| 1427539774 | Anthony Anderson | Occupational Therapy Assistant | 5598 8th St W Unit 3, Lehigh Acres, FL 33971-6341 | 2018-08-24 |
| 1104314996 | Anthony Anderson | Community/Behavioral Health | 2882 Cricket Ln, Willoughby Hills, OH 44092-1412 | 2018-04-26 |
| 1780011015 | Anthony E Anderson | Counselor | 5209 W. Wendover Ave, High Point, NC 27265-9177 | 2013-10-01 |
| Street Address |
1479A U.S. HIGHWAY 61 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841568144 | Occupational and Pain Management Professionals, Inc. | Anesthesiology | 1479a U.S. Highway 61, Festus, MO 63028-4123 | 2011-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123966 | Emily Bhandare | Family Medicine | 1500 Calvary Church Rd Ste B, Festus, MO 63028-4125 | 2017-06-12 |
| 1497033948 | Southern Illinois Healthcare Foundation, Inc | Family Medicine | 660 S Truman Blvd, Festus, MO 63028-2235 | 2011-08-02 |
| 1396881017 | Imran Ahmed | Family Medicine | 1153 E Gannon Dr, Festus, MO 63028-2611 | 2007-01-29 |
| 1477522977 | Padmini Charles | Family Medicine | 180 Industrial Dr, Festus, MO 63028 | 2006-03-16 |
| 1164416624 | Earl Gene Draves | Family Medicine | 1471 Us Highway 61, Festus, MO 63028 | 2005-09-09 |
| 1164416996 | Jeffrey Leonard Draves | Family Medicine | 1471 Us Hwy 61, Festus, Festus, MO 63028-4109 | 2005-09-08 |
| 1952309791 | Gary W Sides | Family Medicine | 1216 W Main St, Festus, MO 63028-1654 | 2005-07-13 |
| 1801328612 | Robert John Hieger | Family Medicine | 1390 Us Highway 61 Ste N-1000, Festus, MO 63028-4136 | 2017-03-30 |
| 1801253612 | St. Anthony's Physician Organization | Family Medicine | 1216 W Main St, Festus, MO 63028-1654 | 2016-01-25 |
| 1316353584 | Kylie Manuella Melton | Family Medicine | 1500 Calvary Church Rd, Festus, MO 63028-4125 | 2014-07-08 |
| Find all providers in FESTUS | ||||
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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.