DR. JEFFREY V ANDERSON (NPI# 1144201567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144201567 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY V ANDERSON |
| Credential | MD |
| Practice Address |
490 Dunlop Ln Clarksville TN 37040-5007 |
| Mailing Address |
Po Box 3799 Clarksville TN 37043-3799 |
| Practice Telephone | 9312458100 |
| Practice Fax Number | 9312458161 |
| Mailing Telephone | 9312457092 |
| Mailing Fax Number | 9312457069 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 021650 | LA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | J5685 | TX | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 27669 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE | 160029770 | 01 |
| TN | Q004439 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326524596 | Jeffrey Anderson | Dentist | 2304 E Bidwell St # 100, Folsom, CA 95630-3455 | 2018-07-11 |
| 1295238830 | Jeffrey Todd Anderson | Occupational Therapist | 100 Woodbrook Dr, Charlottesville, VA 22901-1147 | 2018-03-09 |
| 1902263700 | Jeffrey Anderson | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-01-25 |
| 1891151015 | Jeffrey Anderson | Counselor | 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 | 2016-01-04 |
| 1801294558 | Jeffrey Paul Anderson | Registered Nurse | 1992 S Gregg Rd, Akron, OH 44319-1306 | 2014-12-11 |
| 1013336890 | Jeffrey Anderson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Box 356410, University of Washington, Department of Surgery, Seattle, WA 98195 | 2014-04-09 |
| 1700223708 | Jeffrey Davis Anderson | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2013-05-30 |
| 1659608578 | Jeffrey G. Anderson | Spec/Tech, Pathology | Psc 461, Medical Unit, Fpo, AP 96521-0050 | 2009-11-13 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Street Address |
490 DUNLOP LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718264 | Stacey L Binkley | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2005-05-23 |
| 1063010106 | Jamie Renae Tolley | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2020-10-12 |
| 1760944847 | Wendi-jo Lewis | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2019-04-05 |
| 1013489467 | Brittney Wilkinson Lesser | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2018-12-26 |
| 1215468541 | Adebukola Ajagunna | Pediatrics | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-03-27 |
| 1568993335 | Sayanna Garcia | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-03-23 |
| 1033655964 | Valerie Knight | Registered Nurse | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2017-01-17 |
| 1942757042 | Jennifer Marie Cooke | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040 | 2016-09-06 |
| 1053775262 | Kwame Frimpong | Family Medicine | 490 Dunlop Ln, Clarksville, TN 37040 | 2016-04-13 |
| 1518327337 | Denise Oram | Nurse Practitioner | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2016-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629548565 | Betty Ann Meriwether | Obstetrics & Gynecology | 408 Wingate Dr, Clarksville, TN 37043-6009 | 2018-12-04 |
| 1760879993 | Sonia Jackson | Obstetrics & Gynecology | 490 Dunlop Ln Bldg 2, Clarksville, TN 37040-5007 | 2015-04-27 |
| 1982995544 | Quiniece M Hurdle | Obstetrics & Gynecology | 1100 E Poplar St Ste A, Clarksville, AR 72830-4401 | 2011-04-29 |
| 1073835021 | Arif Mahood | Obstetrics & Gynecology | 104 Iris Court, Clarksville, TN 37042 | 2010-02-18 |
| 1073547212 | Gary L Larkins | Obstetrics & Gynecology | 1824 Memorial Dr, Clarksville, TN 37043 | 2006-07-11 |
| 1972559219 | Jorge Casanova Riestra | Obstetrics & Gynecology | 105 Ussery Rd, Clarksville, TN 37043-4530 | 2006-05-26 |
| 1477527448 | Francoise Abrams | Obstetrics & Gynecology | 5073 Ten Oaks Rd, Clarksville, MD 21029-1015 | 2006-02-15 |
| 1326021676 | Barbara Joanne Phillips-seitz | Obstetrics & Gynecology | 5005 Signal Bell Lane, Ste 102, Clarksville, MD 21029-2606 | 2005-11-21 |
| 1205827920 | William D Mcintosh | Obstetrics & Gynecology | 2292 Dalton Dr, Suite C, Clarksville, TN 37043 | 2005-11-02 |
| 1285639054 | Robert R. Bendt | Obstetrics & Gynecology | 105 Ussery Road, Clarksville, TN 37043-4530 | 2005-06-16 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.