MEDICARE: CLAY M 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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	113467	MO
2	207R00000X	Internal Medicine Physician	113467	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	117784	OTHER	MO	BLUE SHIELD
2	117784	OTHER	MO	BLUE CHOICE
3	3609051	OTHER	MO	UNITED HEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	331048	OTHER	MO	HEALTHLINK

General Provider Information

NPI Number	:	1588601215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAY M ANDERSON MD

Provider Business Mailing Address
First Line	:	4150 N MULBERRY DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-1779
Country	:	US
Telephone Number	:	816-912-4539
Fax Number	:	855-813-6642

Provider Business Practice Location Address
First Line	:	4150 N MULBERRY DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64116-1779
Country	:	US
Telephone Number	:	816-912-4539
Fax Number	:	855-813-6642

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	09/22/2025

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Directions to “ CLAY M ANDERSON MD” Practice Location

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