MEDICARE: DR. JOHN A ANSON 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	207T00000X	Neurological Surgery Physician	8076	NV
2	207T00000X	Neurological Surgery Physician	27062	AZ
3	207T00000X	Neurological Surgery Physician	357661-1205	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	140006092	OTHER	NV	RAILROAD MEDICARE
3	P00089608	OTHER	AZ	MEDICARE RAILROAD
5	DL024Z	OTHER	NV	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1891752176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A ANSON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 95306
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89193-5306
Country	:	US
Telephone Number	:	702-948-8897
Fax Number	:	702-549-3178

Provider Business Practice Location Address
First Line	:	8530 W SUNSET RD
Second Line	:	SUITE 250
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2224
Country	:	US
Telephone Number	:	702-851-0792
Fax Number	:	702-851-0797

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

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	07/20/2015

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Directions to “ DR. JOHN A ANSON M.D.” Practice Location

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