ANTHONY ANDERSON MD NPI 1679524094

NPI Information

  • NPI: 1679524094
  • Provider Name: ANTHONY ANDERSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1479A U.S. HIGHWAY 61
    FESTUS, MO
    ZIP 63028
  • Phone: (636) 931-5533

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NPI Details

Anthony Anderson, MD is a family medicine in Festus, MO with 39 years of experience. 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. Anthony Anderson, MD NPI is 1679524094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

1479A U.S. HIGHWAY 61
FESTUS, MO
ZIP 63028-123
Phone: (636) 931-5533
Fax: (636) 931-5502

The NPI 1679524094 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Treatment of broken spine bone with stabilizing device, each additional segment (HCPCS:22515)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)

The enumeration date for this NPI number is 5/12/2006 and was last updated on 3/7/2023.

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
1207L00000XAnesthesiologyMDR7H67MISSOURINo
2207L00000XAnesthesiology036119093ILLINOISNo
3208VP0014XPain MedicineInterventional Pain Medicine036119093ILLINOISNo
4208VP0000XPain MedicinePain Medicine036119093ILLINOISNo
5207Q00000XFamily Medicine036119093ILLINOISYes

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
1200132704OTHERMISSOURICDS
2205069909MEDICAIDMISSOURI
3036119093MEDICAIDILLINOIS

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

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