SCOTT A ANDERSON (NPI# 1154302677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154302677 |
| Entity Type | Individual |
| Full Name | SCOTT A ANDERSON |
| Credential | D.O. |
| Practice Address |
1432 Southwest Blvd Jefferson City MO 65109-2444 |
| Practice Telephone | 5736324800 |
| Practice Fax Number | 5736324890 |
| Mailing Telephone | 5736324800 |
| Mailing Fax Number | 5736324890 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2014-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
R8G43 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1154302677 | 05 | |
| MO | 243615317 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821308719 | Scott Robert Anderson | Psychologist | 800 Carter St Ste 260, Rochester, NY 14621-2604 | 2010-10-14 |
| 1770897910 | Scott Mitchell Anderson | Dentist | 855 A Ave Ne Ste Ll1, Cedar Rapids, IA 52402-5064 | 2010-07-29 |
| 1205099199 | Scott Monroe Anderson | Occupational Therapist | 991 Clyde Ave, Santa Clara, CA 95054-1905 | 2008-07-09 |
| 1699965269 | Scott Eric Anderson I | Counselor | 2239 Bridgeport Wat, Martrinez, CA 94553 | 2007-07-30 |
| 1245353598 | Scott Robert Anderson | Dentist | 33 E Chapman St, Ely, MN 55731-1227 | 2007-04-09 |
| 1053441436 | Scott Dodd Anderson | Preventive Medicine | 9261 Folsom Blvd Ste 200, Sacramento, CA 95826-2559 | 2007-03-06 |
| 1497897748 | Scott Edward Anderson | Physician Assistant | Diraimondo Troop Medical Clinic #9, Fort Carson, CO 80913 | 2007-02-13 |
| 1104962166 | Scott Michael Anderson | Chiropractor | 3824 Bloomington Ave, Minneapolis, MN 55407-2842 | 2007-01-29 |
| 1316000235 | Scott Gary Anderson | Chiropractor | 3821 Washington Rd, Mc Murray, PA 15317-2946 | 2006-12-19 |
| 1265500599 | Scott Kenneth Anderson | Chiropractor | 4033 Owen Rd, Fenton, MI 48430-9100 | 2006-12-04 |
| Street Address |
1432 SOUTHWEST BLVD |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166481 | Shelby D Rifkin | Internal Medicine | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2005-10-05 |
| 1942816897 | Ashley Nicole Bramer | Speech-Language Pathologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2020-09-16 |
| 1891319877 | Derek Scott Parker | Physical Therapist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2020-06-04 |
| 1205489630 | Jamie Lynn Wilson | Social Worker | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-07-24 |
| 1902459910 | Miranda L Backes | Counselor | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-07-18 |
| 1356809297 | Stacy Lynn Stegeman | Counselor | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2019-03-11 |
| 1295207371 | Mary Blochberger | Specialist/Technologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2018-12-29 |
| 1053714154 | Wesley Clifford Thompson | Psychologist | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2014-10-02 |
| 1235473380 | Nicole Danielle Borrenpohl | Nurse Practitioner | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2012-11-15 |
| 1679825244 | Capital Region Medical Center | Radiology | 1432 Southwest Blvd, Jefferson City, MO 65109-2444 | 2012-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518101708 | Nolyn C Nyatanga | Internal Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2009-05-01 |
| 1457594814 | Tamara V. Hopkins, M.d., L.L.C. | Internal Medicine | 1705 Christy Dr, Suite 201, Jefferson City, MO 65101-5195 | 2009-04-15 |
| 1336118785 | Eston James Schwartz | Internal Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2006-03-17 |
| 1255300133 | Raonak Ekram | Internal Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2006-03-14 |
| 1932176591 | Capital Region Medical Center | Internal Medicine | 1432 Southwest Blvd, Jefferson City, MO 65109 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558670265 | Ken Kobayashi | Internal Medicine | 1412 Se 7th Pl, Lees Summit, MO 64063-8509 | 2010-09-29 |
| 1659546240 | Amandeep Kalra | Internal Medicine | 2330 E Meyer Blvd Ste 401, Kansas City, MO 64132-1132 | 2008-04-24 |
| 1255544680 | Mark Andrew Schroeder | Internal Medicine | 10 Barnes West Dr Ste 100, Ste 100, Saint Louis, MO 63141-6350 | 2007-05-08 |
| 1669573077 | Virginia M Herrmann | Internal Medicine | 11155 Dunn Rd Ste 101e, Ste 101e, Saint Louis, MO 63136-6148 | 2006-09-26 |
| 1962410829 | Timothy Patrick Rearden | Internal Medicine | 11125 Dunn Rd Ste 100, Ste 100, Saint Louis, MO 63136-6132 | 2006-08-04 |
| 1023034261 | Ramaswamy Govindan | Internal Medicine | 4921 Parkview Pl Ste 7a, Ste 7a, Saint Louis, MO 63110-1032 | 2006-07-14 |
| 1124081799 | Anna Roshal | Internal Medicine | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2006-04-06 |
| 1639140288 | Shalina D. Gupta-burt | Internal Medicine | 2750 Clay Edwards Dr Lowr Level010, North Kansas City, MO 64116-3237 | 2006-01-31 |
| 1043292246 | Peter Westervelt | Internal Medicine | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2005-11-15 |
| 1295727493 | Juan Daniel Cuevas | Internal Medicine | 3440 De Paul Ln Ste 201, Bridgeton, MO 63044-3546 | 2005-08-16 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.