MICHAEL R ANDERSON MD NPI 1497740575

NPI Information

NPI: 1497740575
Provider Name: MICHAEL R ANDERSON, MD
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
4011 TALBOT RD S
#220
RENTON, WA
ZIP 98055
Phone: (425) 656-5300
Get Directions

Michael R Anderson, MD is an adolescent medicine pediatrics in Renton, WA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Michael R Anderson, MD NPI is 1497740575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4011 TALBOT RD S
#220
RENTON, WA
ZIP 98055-791
Phone: (425) 656-5300
Fax: (425) 656-5402

The enumeration date for this NPI number is 9/15/2005 and was last updated on 7/9/2007.

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	2080A0000X	Pediatrics	Adolescent Medicine	MD00014404	WASHINGTON	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	AN6847	OTHER	WASHINGTON	REGENCE
2	1094895	MEDICAID	WASHINGTON

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: 5/5/2024

NPI Synchronization or Removal

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