DR. WILLIAM WALLACE ANDERSON


Address: 1400 Barbara Loop Se Ste A, Rio Rancho, NM 87124-1088
Phone: 5058929711

DR. WILLIAM WALLACE ANDERSON (NPI# 1194800334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194800334
Entity Type Individual
Full Name DR. WILLIAM WALLACE ANDERSON
Credential M.D.
Practice Address 1400 Barbara Loop Se Ste A
Rio Rancho
NM 87124-1088
Practice Telephone 5058929711
Practice Fax Number 5058925206
Mailing Telephone 5058929711
Mailing Fax Number 5058925206
Enumeration Date 2006-10-26
Last Update Date 2018-08-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 78-105 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM FEDID 85-0455201 01
NM 17418 05
NM DEFAULT NUMBER 850455201 01

Other Providers WILLIAM ANDERSON

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1346776960 William Cameron Anderson Dentist 305 W 12th Ave Fl 1, Columbus, OH 43210-1267 2017-05-02
1124429394 William Terrance Anderson Orthopaedic Surgery 38602 Hwy 285, Tres Piedras, NM 87577-0139 2014-09-08
1053654574 William Robblee Anderson Obstetrics & Gynecology 2625 E. Spicewood Ct., Bloomington, IN 47401 2013-04-03
1477890275 William Anderson II Pharmacist 69 Valencia St, St Augustine, FL 32084-3541 2013-01-14
1639454028 William Anderson Dentist 1502 N Zaragosa Rd, El Paso, TX 79936 2011-10-17
1093025785 William Stanley Anderson Dentist 2602 Valley Dr, Valparaiso, IN 46383-2511 2010-10-14
1083929137 William Charles Anderson Family Medicine 3380 Daley Center Dr, Apt#1905, San Diego, CA 92123 2010-08-13
1487841573 William Anderson Family Medicine 16f Diamond Cove, Great Diamond Island, ME 04109 2007-10-02

Office Location

Street Address 1400 BARBARA LOOP SE STE A
City RIO RANCHO
State NM
Zip Code 87124-1088

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740895648 Dallon Knight Pharmacist 1115 Nm-528 Se, Rio Rancho, NM 87124 2020-09-09
1447875133 Paul D Phillip Counselor 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 2020-06-09
1093341810 Clearsky Rehabilitation Hospital of Rio Rancho LLC Rehabilitation Hospital 2401 Westside Blvd, Rio Rancho, NM 87124 2020-03-13
1841840345 Debra English Technician 2001 Yucca St Se, Rio Rancho, NM 87124 2019-09-17
1114589322 Counseling Connections, LLC Counselor 2600 Istle Rd Ne, Rio Rancho, NM 87124 2019-07-08
1417414996 Kimberly Lovette Lorenzini Counselor Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 2019-02-21
1225507197 Speech and Language Possibilities, LLC Audiologist 273 Tigris Road Ne, Rio Rancho, NM 87124 2018-11-20
1063997823 Cindy Pendrey, LLC Clinic/Center 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 2018-09-27
1972094324 Calmar Inc. Durable Medical Equipment & Medical Supplies 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 2018-05-22
1013404581 New Mexico Dental Clinics LLC Dentist 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 2018-04-19
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700498748 Sandia View Family Medicine, PC Family Medicine 4200 Meadowlark Ln Se Ste 2, Rio Rancho, NM 87124-1050 2020-08-20
1053952473 Healthnm, LLC Family Medicine 3612 Plano Vista Rd Ne, Rio Rancho, NM 87124-4182 2019-10-07
1821598830 G & M Medical Center LLC Family Medicine 1316 Jackie Rd Se Ste 500, Rio Rancho, NM 87124-6618 2018-02-16
1063848810 Corazon Family Health PC Family Medicine 2220 Grande Blvd Se, Suite A, Rio Rancho, NM 87124-1687 2013-09-24
1992131924 Atrinea Health LLC Family Medicine 111 Rio Rancho Blvd Se, Suite 108, Rio Rancho, NM 87124-7020 2013-09-23
1770895054 Lilia Pedrego Family Medicine 3777 New Mexico Highway 528 Northeast, Rio Rancho, NM 87144 2010-07-02
1538333554 Anthony Fleg Family Medicine 3001 Boradmoor Blvd Ne, Unm Sandoval Regional Medical Center, Rio Rancho, NM 87144 2008-04-22
1821119751 Jana Lee Marjenhoff Family Medicine 632 Lakeview Cir Se, Rio Rancho, NM 87124-2226 2007-04-02
1417022740 Lee Michael Robak Family Medicine 1316 Jackie Rd Se Ste 900, Rio Rancho, NM 87124-6612 2006-11-21
1790793412 Dennis M Hurtado Family Medicine 3777 Nm Hwy 528 Ne, Rio Rancho, NM 87144-7650 2006-08-05
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Competitor

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City RIO RANCHO
Zip Code 87124

Improve Information

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Dataset Information

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.

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