PAUL JACKSON ANDERSON MD NPI 1578512901

NPI Information

NPI: 1578512901
Provider Name: PAUL JACKSON ANDERSON, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2451 FILLINGIM ST
MASTIN BLDG. 617
MOBILE, AL
ZIP 36617
Phone: (251) 470-5842
Get Directions

Paul Jackson Anderson, MD is a diagnostic radiology radiology in Mobile, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Paul Jackson Anderson, MD NPI is 1578512901. 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:

2451 FILLINGIM ST
MASTIN BLDG. 617
MOBILE, AL
ZIP 36617-238
Phone: (251) 470-5842
Fax: (251) 470-5809

The enumeration date for this NPI number is 5/10/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	5393	ALABAMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51530385	OTHER	ALABAMA	BCBS
2	C76015	MEDICARE UPIN
3	06029094	MEDICAID	MISSISSIPPI
4	16-01418	OTHER	ALABAMA	UNITED HEALTHCARE

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

NPI Synchronization or Removal

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