KIRSTEN L ANDERSON MD NPI 1861427262

NPI Information

NPI: 1861427262
Provider Name: KIRSTEN L ANDERSON, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP

PECOS Registration: Yes

Address:
1787 GRAND RIDGE CT NE
SUITE 201
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 913-8601
Get Directions

Kirsten L Anderson, MD is an obstetrics gynecology in Grand Rapids, MI with 35 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Kirsten L Anderson, MD NPI is 1861427262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

1787 GRAND RIDGE CT NE
SUITE 201
GRAND RAPIDS, MI
ZIP 49525-042
Phone: (616) 913-8601

The NPI 1861427262 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 7/12/2006 and was last updated on 7/8/2007.

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	207V00000X	Obstetrics & Gynecology		4301054890	MICHIGAN	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
1	4878097	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
2	4878776	MEDICAID	MICHIGAN
3	4120150	MEDICAID	MICHIGAN
4	M69390041	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
5	P32930123	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
6	3412393	MEDICAID	MICHIGAN
7	3418539	MEDICAID	MICHIGAN
8	F96082	MEDICARE UPIN	MICHIGAN
9	4877410	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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