DR. CHRISTOPHER JAMES ANDERSON (NPI# 1790760494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790760494 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER JAMES ANDERSON |
| Credential | DPM |
| Practice Address |
717 Insight Ave Suite 100 O'fallon IL 62269 |
| Practice Telephone | 6182779533 |
| Practice Fax Number | 6182779540 |
| Mailing Telephone | 6182779533 |
| Mailing Fax Number | 6182779540 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
016.005443 | IL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
2010030718 | MO | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780130443 | Christopher Anderson | Physical Therapist | 4180 Old Milton Parkway, Unit 1f, Alpharetta, GA 30005-2408 | 2016-08-31 |
| 1992159040 | Christopher Lee Anderson | Student in an Organized Health Care Education/Training Program | 625 19th St South, Birmingham, AL 35249 | 2016-04-14 |
| 1235522863 | Christopher Anderson | Specialist/Technologist | 5580 St Rd 28, Tipton, IN 46072 | 2015-03-06 |
| 1497153035 | Christopher William Anderson | Marriage & Family Therapist | 2834 San Gabriel St, Austin, TX 78705-3531 | 2014-12-14 |
| 1003079195 | Christopher Lynn Anderson | Military Health Care Provider | 1790 Saturn Blvd, New Orleans, LA 70129 | 2008-07-08 |
| 1114129228 | Christopher James Anderson | Psychoanalyst | 2089 Third Ave, Jwj Counseling Center Union Settlement Association, New York, NY 10029 | 2007-06-01 |
| 1124145503 | Christopher Marc Anderson | Psychologist | 234 Cabot Street, Suite 2, Beverly, MA 01915 | 2007-03-23 |
| 1972661130 | Christopher Harlow Anderson | Chiropractor | 1712 Randolph Ave, Saint Paul, MN 55105-2159 | 2006-12-04 |
| 1528137742 | Christopher Douglas Anderson | Dentist | 504 N Jackson St, Suite 103, Tullahoma, TN 37388-3520 | 2006-11-06 |
| 1265452569 | Christopher Michael Anderson | Dentist | 1225 Johnson Ferry Rd, Suite 660, Marietta, GA 30068-2727 | 2006-07-20 |
| Street Address |
717 INSIGHT AVE SUITE 100 |
| City | O'FALLON |
| State | IL |
| Zip Code | 62269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962817916 | Natalie Mota | Podiatrist | 717 Insight Ave, Suite 100, O'fallon, IL 62269 | 2014-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902269301 | Jillian Cabai | Podiatrist | 3000 N Halsted St Ste 606, Chicago, IL 60657-6456 | 2016-04-01 |
| 1710279641 | Prpodiatry, LLC | Podiatrist | 433 W Briar Pl, Unit 7b, Chicago, IL 60657-4752 | 2011-05-11 |
| 1205071149 | Bradley W. Buckrop Dpm | Podiatrist | 3727 46th Ave, Suite 103, Rock Island, IL 61201-7078 | 2008-12-05 |
| 1396919130 | Marwa Sayed | Podiatrist | 7255 W 87th St Unit 1, Bridgeview, IL 60455-1821 | 2008-04-14 |
| 1013191287 | Nikola Ivancevic Dpm PC | Podiatrist | 135 S Palmer Dr, Suite 105, Elmhurst, IL 60126-3403 | 2007-12-24 |
| 1659577575 | Pam Eernisse Dpm Sc | Podiatrist | 680 N Lake Shore Dr # 1305, Chicago, IL 60611-4546 | 2007-06-26 |
| 1720118367 | Larry Allen Keyes | Podiatrist | 1023 Madison St, Oak Park, IL 60302-4404 | 2007-03-06 |
| 1548399462 | Two Steps Ahead Podiatry, Inc. | Podiatrist | 1001 E Wilson St Ste 180, Batavia, IL 60510-3168 | 2007-03-05 |
| 1447392972 | Willie Lee Brown | Podiatrist | 10700 Lincoln Trl, Suite E, Fairview Heights, IL 62208-2037 | 2007-02-12 |
| 1972685410 | Nikola Ivancevic | Podiatrist | 5646 St Charles Rd, Suite B, Berkeley, IL 60163 | 2006-10-20 |
| Find all providers with the same taxonomy | ||||
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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.