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NPI Code Detail

MEDICARE: PHILIP E ANDERSON MD

MEDICARE: PHILIP E 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
1207P00000XEmergency Medicine Physician26598KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00919778OTHERKYRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669469300
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP E ANDERSON MD
Provider Business Mailing Address
First Line : PO BOX 636961
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6961
Country : US
Telephone Number : 513-981-5130
Fax Number : 513-981-5015
Provider Business Practice Location Address
First Line : 1530 LONE OAK RD
Second Line : EMERGENCY DEPARTMENT
City : PADUCAH
State : KY
Zip : 42003-7901
Country : US
Telephone Number : 270-444-2150
Fax Number : 270-444-2985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 06/08/2015

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Directions to “ PHILIP E ANDERSON MD” Practice Location

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