MR. JOHN A ANDERS (NPI# 1841560323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841560323 |
Entity Type | Individual |
Full Name | MR. JOHN A ANDERS |
Credential | C-PED |
Practice Address |
4117 Menaul Blvd Ne Albuquerque NM 87110 |
Practice Telephone | 5058887006 |
Practice Fax Number | 5058887051 |
Mailing Telephone | 5058887006 |
Mailing Fax Number | 5058887051 |
Enumeration Date | 2011-12-30 |
Last Update Date | 2011-12-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235232844 | John Paul Anders | Chiropractor | 1315 W 8th St, Wellington, KS 67152-4700 | 2006-09-07 |
1245571256 | John Charles Anders | Pharmacist | 200 W Commerce St, Brownwood, TX 76801-1806 | 2013-03-15 |
1811932643 | John Paul Anders | Dermatology | 4126 N Holland Sylvania Rd, Suite 200, Toledo, OH 43623-2504 | 2006-06-17 |
Street Address |
4117 MENAUL BLVD NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285040725 | Happy Feet | Durable Medical Equipment & Medical Supplies | 4117 Menaul Blvd Ne, Albuquerque, NM 87110-2911 | 2014-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
Find all providers in zip 87110 |
Taxonomy Code | 224L00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Pedorthist |
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831442375 | Carlos Peay | Pedorthist | 2800 Doral Ct., Ste. A, Las Cruces, NM 88011 | 2012-10-22 |
City | ALBUQUERQUE |
Zip Code | 87110 |
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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.