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JOHN NELS ANDERSON M.D. NPI 1457762965


NPI Information

NPI: 1457762965
Provider Name: JOHN NELS ANDERSON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
265 N BINKLEY ST
SOLDOTNA, AK
ZIP 99669
Phone: (907) 262-4161
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JOHN NELS ANDERSON, M.D. is a family medicine in Soldotna, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JOHN NELS ANDERSON, M.D. NPI is 1457762965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

265 N BINKLEY ST
SOLDOTNA, AK
ZIP 99669-523
Phone: (907) 262-4161
Fax: (907) 262-1545

The provider's authorized official is John Nels Anderson .
The authorized official title is Owner and has the following contact phone number (907) 262-4161.

The enumeration date for this NPI number is 5/19/2014 and was last updated on 5/19/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineAA1677ALASKAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11021190MEDICAIDALASKA
2C96987MEDICARE UPIN
3151239MEDICARE PIN

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

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.