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NPI Code Detail

MEDICARE: DR. WILLIAM KRISTIAN ANDERSEN M.D.

MEDICARE: DR. WILLIAM KRISTIAN ANDERSEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician9600842NC
2207X00000XOrthopaedic Surgery Physician9600842NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3NNF119L103OTHERNCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12076472OTHERNCFIRST HEALTH
25406276OTHERNCAETNA PPO
42111516OTHERNCUNITED HEALTHCARE
52350709OTHERNCAETNA HMO
611124OTHERNCBCBS
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700850195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM KRISTIAN ANDERSEN M.D.
Provider Business Mailing Address
First Line : 2000 PERIMETER PARK DR STE 200
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8442
Country : US
Telephone Number : 919-467-4992
Fax Number : 919-481-9607
Provider Business Practice Location Address
First Line : 1120 SE CARY PKWY
Second Line : SUITE 100
City : CARY
State : NC
Zip : 27518-7413
Country : US
Telephone Number : 919-467-4992
Fax Number : 919-481-9607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 09/26/2024

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