MEDICARE: JONATHAN CHRISTIAN 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	2084P0800X	Psychiatry Physician	010104862	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	851915	OTHER	VA	FIRST HEALTH
2	010160502	OTHER	VA	VA PREMIER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	175282	OTHER	VA	ANTHEM
5	085211M	OTHER	VA	OPTIMA HEALTH

General Provider Information

NPI Number	:	1629042817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN CHRISTIAN ANDERSON MD

Provider Business Mailing Address
First Line	:	1355 RICHMOND AVE.
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-9146
Country	:	US
Telephone Number	:	540-332-2100
Fax Number	:	540-332-2201

Provider Business Practice Location Address
First Line	:	1355 RICHMOND AVE.
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-9146
Country	:	US
Telephone Number	:	540-332-2100
Fax Number	:	540-332-2201

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	10/14/2025

Similar Medicare Providers

1801894993 — MRS. ELLEN DEGRAFF HARRISON LPC
Practice Location Address:

1301 RICHMOND AVE
STAUNTON, VA
24401-9146

Practice Phone: 540-332-8000
Practice Fax:

1992705479 — MRS. RITA DELENE LEWIS RPH
Practice Location Address:

1301 RICHMOND AVE
STAUNTON, VA
24401-9146

Practice Phone: 540-332-8041
Practice Fax: 540-332-8044

1528053329 — DR. KENNETH HUBERT BRASFIELD PHARM.D, BCPP
Practice Location Address:

1301 RICHMOND AVE , WESTERN STATE HOSPITAL
STAUNTON, VA
24401-9146

Practice Phone: 540-332-8121
Practice Fax: 540-332-8065

1497719207 — COMMONWEALTH OF VIRGINIA WESTERN STATE HOSPITAL
Practice Location Address:

1301 RICHMOND AVE
STAUNTON, VA
24401-9146

Practice Phone: 540-332-8200
Practice Fax: 540-332-8197

1477501674 — DR. REBECCA LINDSAY M.D.
Practice Location Address:

1301 RICHMOND AVE
STAUNTON, VA
24401-9146

Practice Phone: 540-332-8200
Practice Fax: 540-332-8197

1912951369 — COMMONWEALTH CENTER FOR CHILDREN AND ADOLESCENTS
Practice Location Address:

1355 RICHMOND AVE
STAUNTON, VA
24401-9146

Practice Phone: 540-332-2100
Practice Fax: 540-332-2201

Directions to “ JONATHAN CHRISTIAN ANDERSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.