STACIA S ANDERSON MD NPI 1720079981

NPI Information

NPI: 1720079981
Provider Name: STACIA S ANDERSON, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 654-3630
Get Directions

Stacia S Anderson, MD is an obstetrics gynecology in Saint Cloud, MN with 28 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Stacia S Anderson, MD NPI is 1720079981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1996

The provider's business location address is:

1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 654-3630
Fax: (320) 654-3657

The NPI 1720079981 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 enumeration date for this NPI number is 11/4/2005 and was last updated on 11/22/2011.

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	207V00000X	Obstetrics & Gynecology		44297	MINNESOTA	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 Issuer
1	1545844	OTHER	ARAZ GROUP AMERICAS PPO
2	1030414	OTHER	PREFERRED ONE
3	052720300	OTHER	MEDICAL ASSISTANCE MA
4	160002011	MEDICARE ID-TYPE UNSPECIFIED
5	0702359	OTHER	MEDICA HEALTH PLANS
6	160056138	OTHER	RR MEDICARE
7	C11369	OTHER	RR MEDICARE
8	COMP	OTHER	CHAMPUS
9	COMP	OTHER	MMSI
10	HP34883	OTHER	HEALTH PARTNERS
11	H29464	MEDICARE UPIN
12	COMP	OTHER	ONE HEALTH PLAN GREAT WES
13	141335	OTHER	U CARE
14	55G63AN	OTHER	BLUE CROSS BLUE SHIELD
15	1855107	OTHER	FIRST HEALTH PLAN

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

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.

« Previous NPI

Next NPI »