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DR. ANDREW JOSEPH ANDERSON M.D. NPI 1396814109


NPI Information

NPI: 1396814109
Provider Name: DR. ANDREW JOSEPH ANDERSON, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-5571
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DR. Andrew Joseph Anderson, M.D. is an emergency medicine in Jackson, MS with 21 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Andrew Joseph Anderson, M.D. NPI is 1396814109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5571

The NPI 1396814109 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.

  • Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth (HCPCS:G0425)
  • Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)
  • Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/28/2015.


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
1207P00000XEmergency Medicine19073MISSISSIPPIYes

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
1P00462155OTHERMISSISSIPPIMEDICARE RR
2174885MEDICAIDALABAMA
3512G700003OTHERMISSISSIPPIMS MEDICARE - GROUP
4302I938834MEDICARE PINMISSISSIPPI
509356273MEDICAIDMISSISSIPPI
6512I930022MEDICARE PINMISSISSIPPI

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.