MEDICARE: DR. JAMES D ANDERSON MD

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
1	207RR0500X	Rheumatology Physician	0420419	KS

General Provider Information

NPI Number	:	1801892377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES D ANDERSON MD

Provider Business Mailing Address
First Line	:	8401 W 125TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66213-1449
Country	:	US
Telephone Number	:	913-338-3222
Fax Number	:	913-338-3227

Provider Business Practice Location Address
First Line	:	8401 W 125TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66213-1449
Country	:	US
Telephone Number	:	913-338-3222
Fax Number	:	913-338-3227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	10/05/2022

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