MARK SPENCER ANDERSON M.D. NPI 1821357179

NPI Information

NPI: 1821357179
Provider Name: MARK SPENCER ANDERSON, M.D.
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Individual

Specialization: Hand Surgery

Organization: SOUTHWEST MEDICAL ASSOCIATES, LLC

PECOS Registration: Yes

Address:
101 HOSPITAL LOOP NE STE 201
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 727-4430
Get Directions

Mark Spencer Anderson, M.D. is a hand surgery orthopaedic surgery in Albuquerque, NM with 12 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Mark Spencer Anderson, M.D. NPI is 1821357179. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

101 HOSPITAL LOOP NE STE 201
ALBUQUERQUE, NM
ZIP 87109-128
Phone: (505) 727-4430
Fax: (505) 727-9401

The NPI 1821357179 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 5/8/2012 and was last updated on 1/23/2020.

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	207X00000X	Orthopaedic Surgery		MD2019-0224	NEW MEXICO	No
2	207XS0106X	Orthopaedic Surgery	Hand Surgery	MD2019-0224	NEW MEXICO	Yes
3	390200000X	Student in an Organized Health Care Education/Training Program		RS2018-0355	NEW MEXICO	No

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	48476854	MEDICAID	NEW MEXICO

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: 11/14/2023

NPI Synchronization or Removal

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