MRS. JEANETTE MARIA ANDERSON (NPI# 1104878875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104878875 |
| Entity Type | Individual |
| Full Name | MRS. JEANETTE MARIA ANDERSON |
| Credential | MD |
| Practice Address |
18589 N 59th Ave Ste. 101 Glendale AZ 85308-1258 |
| Mailing Address |
16170 W Dynamite Blvd Surprise AZ 85387-6704 |
| Practice Telephone | 4803532200 |
| Practice Fax Number | 4803532201 |
| Mailing Telephone | 6236407116 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
10240A | WY | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
32765 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4140a Laramie St, Cheyenne, WY 820011969 | 3076372800 | 3076372867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336470764 | Jeanette Anderson | Massage Therapist | 7334 W Ohio Ave, Apartment 105, Lakewood, CO 80226-4986 | 2010-01-25 |
| 1164977625 | Jeanette Anderson | Counselor | 4240 Auburn Way N, Auburn, WA 98002 | 2016-08-24 |
| 1801253711 | Jeanette Anderson | Counselor | 301 Broadway, Chelsea, MA 02150-2807 | 2016-01-22 |
| 1194902338 | Jeanette M. Anderson | Counselor | 3580 Pacific Ave, Tacoma, WA 98418-7915 | 2008-01-30 |
| 1871780981 | Jeanette C Anderson | Orthotic Fitter | 433 Hegenberger Rd Ste 100, Oakland, CA 94621-1448 | 2007-10-02 |
| 1225058571 | Jeanette D Anderson | Counselor | 2129 Sw 59th St, Oklahoma City, OK 73119 | 2006-07-20 |
| Street Address |
18589 N 59TH AVE STE. 101 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043276587 | Glendale Urgent Care LLC | Clinic/Center | 18589 N 59th Ave, Ste. 101, Glendale, AZ 85308-1258 | 2006-04-25 |
| 1942618731 | Barry Maupin | Nurse Practitioner | 18589 N 59th Ave, Glendale, AZ 85308-1258 | 2014-07-24 |
| 1588948574 | Carli Nicole Walter | Physician Assistant | 18589 N 59th Ave, Glendale, AZ 85308-1258 | 2011-10-07 |
| 1396065322 | Nextcare Arizona LLC | Clinic/Center | 18589 N 59th Ave, Ste. 101, Glendale, AZ 85308-1258 | 2010-06-01 |
| 1497867683 | Carrie Jacovini | Physician Assistant | 18589 N 59th Ave, Ste 101, Glendale, AZ 85308 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421480 | Healthier Lifestyle Medical Group | Internal Medicine | 1412 W Glenoaks Blvd Ste B, Glendale, CA 91201-1990 | 2020-06-10 |
| 1699190777 | Matthew D Skinner, Md, P.C. | Internal Medicine | 6740 W Deer Valley Rd Ste D107, Pmb 105, Glendale, AZ 85310-5952 | 2014-02-26 |
| 1124290036 | Zahra Esmail | Internal Medicine | 245 W Loraine St, Apt 222, Glendale, CA 91202-1864 | 2008-03-31 |
| 1568659985 | Mahmuda Akhter Alam | Internal Medicine | 715 N Jackson St, # B, Glendale, CA 91206-2015 | 2007-09-30 |
| 1598782369 | Arrowhead Internal Medicine | Internal Medicine | 18275 N 59th Ave Ste 138, Glendale, AZ 85308-1253 | 2006-07-16 |
| 1598782302 | Lotus Internal Medicine, PC | Internal Medicine | 18275 N 59th Ave Ste 142, Glendale, AZ 85308-1253 | 2006-07-16 |
| 1508839937 | Radha A Ramamrutham | Internal Medicine | 20325 N 51st Ave Bldg 6, Suite 142, Glendale, AZ 85308-5674 | 2006-02-08 |
| 1568869048 | Cornerstone Geriatric Care, PC | Internal Medicine | 6740 W Deer Valley Rd, Pmb 304, Glendale, AZ 85310-5953 | 2014-11-26 |
| 1023434354 | Sun Valley Geriatric Medicine, P.C. | Internal Medicine | 6740 W Deer Valley Rd, Suite D 107, Glendale, AZ 85310-5953 | 2014-03-11 |
| 1669730628 | Srivani Srikantiah, M.d. Pllc | Internal Medicine | 18275 N 59th Ave, Suite 138, Glendale, AZ 85308-1260 | 2012-04-27 |
| Find all providers in GLENDALE | ||||
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| 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.