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DR. ANTHONY VINCENT ANDERSON MD NPI 1811074834


NPI Information

NPI: 1811074834
Provider Name: DR. ANTHONY VINCENT ANDERSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: GILA RIVER HEALTH CARE CORPORATION

PECOS Registration: Yes

Address:
483 W SEED FARM RD
SACATON, AZ
ZIP 85147
Phone: (602) 528-1200
Get Directions

DR. Anthony Vincent Anderson, MD is a family medicine in Sacaton, AZ with 34 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. DR. Anthony Vincent Anderson, MD NPI is 1811074834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1990

The provider's business location address is:

483 W SEED FARM RD
SACATON, AZ
ZIP 85147-000
Phone: (602) 528-1200
Fax: (602) 528-1255

The NPI 1811074834 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 11/1/2006 and was last updated on 9/20/2021.


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 MedicineM-13178IDAHONo
2207Q00000XFamily MedicineMD60435859WASHINGTONYes

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
1M-13178OTHERIDAHOIDAHO MEDICAL LICENSE
2MD60435859OTHERWASHINGTONWASHINGTON MEDICAL LICENSE
363887OTHERARIZONAARIZONA MEDICAL LICENSE

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.