ELLEN M ANDERSON DPM NPI 1104928464

NPI Information

  • NPI: 1104928464
  • Provider Name: ELLEN M ANDERSON, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 839 W MAIN ST
    DOVER FOXCROFT, ME
    ZIP 04426
  • Phone: (207) 564-2536

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NPI Details

Ellen M Anderson, DPM is a podiatrist in Dover Foxcroft, ME with 46 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Ellen M Anderson, DPM NPI is 1104928464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1980

The provider's business location address is:

839 W MAIN ST
DOVER FOXCROFT, ME
ZIP 04426-334
Phone: (207) 564-2536
Fax: (207) 564-8581

The NPI 1104928464 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).

The enumeration date for this NPI number is 9/5/2006 and was last updated on 2/5/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristPOD155MAINEYes

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
11349170001MEDICARE NSCMAINE
2T31431MEDICARE UPIN
3112960000MEDICAIDMAINE
4015197MEDICARE PINMAINE

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: 11/21/2025

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