Sean R Anderson (NPI# 1174873160, PAC ID# 5092966150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174873160 |
| PAC ID by PECOS | 5092966150 |
| Professional Enrollment ID | I20121119000421 |
| Full Name | Sean R Anderson |
| Organization Legal Name | JOHN D. TAYLOR, MD, PA |
| Address |
1018 Ohio St Pittsburg KS 66762-6437 |
| Phone Number | 6202315900 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254306194 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170006 | VIA CHRISTI HOSPITAL PITTSBURG INC |
| 260001 | MERCY HOSPITAL JOPLIN |
| Address | Phone | Organization |
|---|---|---|
| 1018 Ohio St, Pittsburg, KS 66762-6437 | 6202315900 | JOHN D. TAYLOR, MD, PA |
| Organization Legal Name | JOHN D. TAYLOR, MD, PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gretchen Martin | Physician Assistant | John D. Taylor, Md, Pa | 1018 Ohio St, Pittsburg, KS 66762-6437 |
| Street Address |
1018 OHIO ST |
| City | PITTSBURG |
| State | KS |
| Zip | 66762-6437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gretchen Martin | Physician Assistant | John D. Taylor, Md, Pa | 1018 Ohio St, Pittsburg, KS 66762-6437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy M Orellana | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| William T Carl | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Bethany Nicole Enoch | Family Medicine | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Kayla D Angleton | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Jay Justin Middleton | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Tonya Kendrick | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Curtis L Mellen | Physician Assistant | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Crystal D Merriman | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Trista Dawn King | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Brock A Boekhout | Psychologist, Clinical | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Find all physicians in zip 66762 | |||
| City | PITTSBURG |
| Zip Code | 66762 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PITTSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sean R 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.