ANDERSON FAMILY PRACTICE (NPI# 1023235348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023235348 |
| Entity Type | Organization |
| Organization Name | ANDERSON FAMILY PRACTICE |
| Practice Address |
3505 Broadway St Mount Vernon IL 62864-2202 |
| Mailing Address |
500 N 27th St Mount Vernon IL 62864-2924 |
| Practice Telephone | 6182447788 |
| Practice Fax Number | 6182449330 |
| Mailing Telephone | 6182443245 |
| Mailing Fax Number | 6182443279 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALAN W ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 6182447788 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
IL | Ambulatory Health Care Facilities |
| Street Address |
3505 BROADWAY ST |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466686 | Crossroads Physician Corp | Clinic/Center | 3505 Broadway St, Mount Vernon, IL 62864-2202 | 2005-09-06 |
| 1558473645 | John Hall, M.d., P.C. | Family Medicine | 3505 Broadway St, Ste A, Mount Vernon, IL 62864-2202 | 2006-08-31 |
| 1053396622 | John T. Hall | Family Medicine | 3505 Broadway St, Ste A, Mount Vernon, IL 62864-2202 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| 1386817575 | Karen Lee, A.r.n.p., Inc | Clinic/Center | 1725 S 10th St, Mount Vernon, WA 98274-5029 | 2008-04-08 |
| 1366432130 | Prompt Care | Clinic/Center | 2712 Broadway St, Mount Vernon, IL 62864-2342 | 2005-10-24 |
| 1184231979 | Aurora Aesthetics and Functional Medicine Clinic, Pllc | Clinic/Center | 713 1st Ave Nw, Mount Vernon, IA 52314-1478 | 2020-09-25 |
| 1407250624 | Mount Vernon Medical Practice | Clinic/Center | 153 Stevens Ave, Suite 4, Mount Vernon, NY 10550-2543 | 2014-10-17 |
| 1609121854 | Cascade Clinic Walk In and Primary Care LLC | Clinic/Center | 1420 Roosevelt Ave Ste 4, Mount Vernon, WA 98273-2687 | 2012-07-13 |
| 1760774848 | Ramesh S. Naik Physicians P.l.l.c. | Clinic/Center | 105 Stevens Ave, 508, Mount Vernon, NY 10550-2686 | 2011-05-09 |
| 1265600332 | James A Rice LLC | Clinic/Center | 232 Walnut St, Mount Vernon, IN 47620-1857 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
| 1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
| 1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on ANDERSON FAMILY PRACTICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.