Douglas Porter Anderson (NPI# 1235676792, PAC ID# 0547544710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1235676792 |
| PAC ID by PECOS | 0547544710 |
| Professional Enrollment ID | I20170307002079 |
| Full Name | Douglas Porter Anderson |
| Address |
1514 Cr 41 Magnolia Manor At Tupelo Tupelo MS 38801 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251337 | TIPPAH COUNTY HOSPITAL |
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 Oxford Rd, New Albany, MS 38652-3117 | 6625348166 | INTERNAL MEDICINE RURAL HEALTH CLINIC OF NEW ALBANY PA |
| 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 |
| Street Address |
1514 CR 41 MAGNOLIA MANOR AT TUPELO |
| City | TUPELO |
| State | MS |
| Zip | 38801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
| Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
| Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
| Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
| Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
| James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
| Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Alison U Farley | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Find all physicians in zip 38801 | |||
| City | TUPELO |
| Zip Code | 38801 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TUPELO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Douglas Porter Anderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.