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NPI Code Detail

MEDICARE: THE ANDERSON CLINIC INC

MEDICARE: THE ANDERSON CLINIC INC
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
1207XS0114XAdult Reconstructive Orthopaedic Surgery Physician
2207LP2900XPain Medicine (Anesthesiology) Physician
3225X00000XOccupational Therapist
4261Q00000XClinic/Center
52251X0800XOrthopedic Physical Therapist
6207QS0010XSports Medicine (Family Medicine) Physician
7363A00000XPhysician Assistant
8208VP0014XInterventional Pain Medicine Physician
9225100000XPhysical Therapist
10332900000XNon-Pharmacy Dispensing Site
11207XS0106XOrthopaedic Hand Surgery Physician
12207XS0117XOrthopaedic Surgery of the Spine Physician
13207XX0004XOrthopaedic Foot and Ankle Surgery Physician
14207XX0005XSports Medicine (Orthopaedic Surgery) Physician
15207X00000XOrthopaedic Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11846ANOTHERMDBLUE CROSS/BLUE SHIELD OF MD
20457470001OTHERDURABLE MEDICAL EQUIPMENT
32509OTHERBLUE CROSS BLUE SHIELD ID
4148820100OTHERDEPT OF LABOR ID

General Provider Information

NPI Number : 1568488799
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ANDERSON CLINIC INC
Provider Business Mailing Address
First Line : 2800 S SHIRLINGTON RD STE 1100
Second Line :
City : ARLINGTON
State : VA
Zip : 22206-3605
Country : US
Telephone Number : 703-892-6500
Fax Number : 703-892-1550
Provider Business Practice Location Address
First Line : 2800 S SHIRLINGTON RD STE 1100
Second Line :
City : ARLINGTON
State : VA
Zip : 22206-3605
Country : US
Telephone Number : 703-892-6500
Fax Number : 703-521-3415
Authorized Official
Title or Position : ADMINISTRATOR
Name : BETSY CHAPPELL
Credential :
Telephone Number : 703-769-8423
Provider Enumeration Date : 07/14/2006
Last Update Date : 02/20/2026

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Directions to “THE ANDERSON CLINIC INC ” Practice Location

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