MEDICARE: DR. MIKE L ANDERSON 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
1	2085R0202X	Diagnostic Radiology Physician	MD 60071848	WA
2	2085R0202X	Diagnostic Radiology Physician	DR.0054806	CO
3	2085R0202X	Diagnostic Radiology Physician	MD - 12628	HI

General Provider Information

NPI Number	:	1629059423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIKE L ANDERSON M.D.

Provider Business Mailing Address
First Line	:	1650 COCHRANE CIR
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4604
Country	:	US
Telephone Number	:	719-526-7979
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 COCHRANE CIR
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4604
Country	:	US
Telephone Number	:	719-526-7979
Fax Number	:

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

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	02/19/2025

Similar Medicare Providers

1114926359 — CYNTHIA BUCHANAN FNP
Practice Location Address:

1650 COCHRANE CIR UNIT MEDDAC
FT CARSON, CO
80913-4604

Practice Phone: 719-526-7000
Practice Fax:

1316930498 — DR. ROBERT A GOLDBERG DC
Practice Location Address:

1650 COCHRANE CIR UNIT MEDDAC
FT CARSON, CO
80913-4604

Practice Phone: 719-526-7120
Practice Fax:

1508856261 — DR. DAVID NEWMAN PT
Practice Location Address:

1650 COCHRANE CIR UNIT MEDDAC
FT CARSON, CO
80913-4604

Practice Phone: 719-526-7120
Practice Fax:

1629058367 — DR. KENNETH SCOTT KIME D.O.
Practice Location Address:

USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL , 1650 COCHRANE CIRCLE, ATTN: EMERGENCY DEPT
FT. CARSON, CO
80913-4604

Practice Phone: 719-526-7650
Practice Fax: 719-524-4090

1053381152 — DR. DONALD BRUCE HANSEN PHARMD
Practice Location Address:

1650 COCHRANE CIRCLE ATTN. PHARMACY , USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL
FT. CARSON, CO
80913-4604

Practice Phone: 719-526-7844
Practice Fax: 719-526-7984

1013987965 — DR. PETER R MCNALLY DO
Practice Location Address:

EVANS ARMY COMMUNITY HOSPITAL , GI CLINIC
FT CARSON, CO
80913-4604

Practice Phone: 719-526-7453
Practice Fax: 719-526-7007

Directions to “ DR. MIKE L ANDERSON M.D.” 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.