Provider Type Icon

DR. JEFFREY DEAN ANDERSON MD NPI 1073716072


NPI Information

NPI: 1073716072
Provider Name: DR. JEFFREY DEAN ANDERSON, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
9200 W WISCONSIN AVE
DEPT OF RADIOLOGY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-3700
Get Directions

DR. Jeffrey Dean Anderson, MD is a diagnostic radiology radiology in Milwaukee, WI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jeffrey Dean Anderson, MD NPI is 1073716072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9200 W WISCONSIN AVE
DEPT OF RADIOLOGY
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 805-3700
Fax: (414) 805-3777

The NPI 1073716072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

The enumeration date for this NPI number is 6/7/2007 and was last updated on 10/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineR8049IOWANo
22085R0202XRadiologyDiagnostic Radiology52902WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11073716072MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.