KATHERINE CARLSEN ANDERSON MD NPI 1003379116

NPI Information

NPI: 1003379116
Provider Name: KATHERINE CARLSEN ANDERSON, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address: 1701 N SENATE BLVD # AG012
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 962-3525

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NPI Details

Katherine Carlsen Anderson, MD is an emergency medicine in Indianapolis, IN. 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. Katherine Carlsen Anderson, MD NPI is 1003379116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1701 N SENATE BLVD # AG012
INDIANAPOLIS, IN
ZIP 46202-239
Phone: (317) 962-3525

The NPI 1003379116 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 4/8/2019 and was last updated on 3/16/2025.

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	License Number	License State	Primary
1	208000000X	Pediatrics	01093695A	INDIANA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	207P00000X	Emergency Medicine	01093695A	INDIANA	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	300096353	MEDICAID	INDIANA

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: 3/30/2025

NPI Synchronization or Removal

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