JOHN DAVID ANDERSEN (NPI# 1265870406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265870406 |
| Entity Type | Individual |
| Full Name | JOHN DAVID ANDERSEN |
| Credential | D.O. |
| Practice Address |
8901 Wisconsin Avenue Bethesda MD 20899-5600 |
| Practice Telephone | 3012954000 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306940770 | John D Andersen | Dentist | 13215 Birch St, Suite 100, Omaha, NE 68164-5431 | 2006-09-07 |
| 1891801981 | John Martin Andersen | Family Medicine | 933 N Charlotte Street, 3-a, Potts, PA 19464-3974 | 2006-08-22 |
| 1508323866 | John Andersen | Marriage & Family Therapist | 941 Spring St Ste 5, Placerville, CA 95667-4546 | 2019-02-22 |
| 1952818338 | John Todd Andersen | Pharmacist | 16960 W Maple Rd, Omaha, NE 68116-2237 | 2018-01-07 |
| 1699827543 | John Michael Andersen | Optometrist | 11121 W 95th St, Overland Park, KS 66214 | 2007-01-18 |
| 1487616348 | John Milton Andersen | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-04-05 |
| Street Address |
8901 WISCONSIN AVENUE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20899-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951088 | Daniel Ricardo Elizondo | Ophthalmology | 8901 Wisconsin Avenue, Bethesda, MD 20889-5000 | 2005-06-10 |
| 1801418439 | Walter Guillory II | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-05-18 |
| 1952920720 | Aditya Patel | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed Military Medical Center, Bethesda, MD 20889-0001 | 2020-04-13 |
| 1366094294 | Julia Lynn Collazo | Dentist | 8901 Wisconsin Avenue, Building 9, 2nd Floor, Bethesda, MD 20889 | 2019-07-11 |
| 1417410515 | Samuel Woodle | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed Neurosurgery Residency, Bethesda, MD 20889 | 2019-04-08 |
| 1508328808 | Benjamin Ficke | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed National Medical Center, Bethesda, MD 20889-0001 | 2019-04-04 |
| 1740763093 | Kattie Khadar | Nurse Practitioner | 8901 Wisconsin Avenue, Bethesda, MD 20814 | 2018-09-12 |
| 1528559945 | Jonathan David Vignali | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2018-05-21 |
| 1669974150 | Maria Park | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Pediatrics Walter Reed National Military Medical Center, Bethesda, MD 20889 | 2018-03-01 |
| 1265933949 | Amanda Cain | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue, Walter Reed National Military Medical Center, Bethesda, MD 20889 | 2018-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023114378 | Scott Kushner | Military Health Care Provider | 8901 Wiscosin Ave, Bethesda, MD 20899 | 2006-09-15 |
| 1356826101 | Staci Lynne Jones | Pharmacist | 8901 Wisconsin Ave, Bethesda, MD 20899 | 2018-09-27 |
| 1154857597 | Patrick Marcus Singley | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20899 | 2017-05-04 |
| 1386098234 | Andrew Thomas Gould | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20899 | 2016-04-18 |
| 1023473675 | Laurie Lanca | Registered Nurse | 8901 Wisconsin Ave, Bethesda, MD 20899 | 2015-12-28 |
| 1811406267 | Christina Star Petersen | Physician Assistant | 100 Bureau Drive Bldg 101, Rm C-33, Ms #1732, Gaithersburg, MD 20899-0001 | 2017-09-28 |
| 1992006811 | Barbara Basuk | Preventive Medicine | 100 Bureau Dr, Stop 1732, Gaithersburg, MD 20899-0003 | 2010-11-09 |
| 1437799871 | Felix Achille Gouanette Tankeu | Nurse Practitioner | 100 Bureau Dr, Gaithersburg, MD 20899-0003 | 2020-01-14 |
| 1053595835 | Katherine Kroh | Physical Therapist | 8901 Wisconsin Ave, Bethesda, MD 20899-5600 | 2007-12-28 |
| 1265905186 | Jeffrey Jin-hyung Kim | Dentist | 100 Bureau Dr Stop 8546, Gaithersburg, MD 20899-8546 | 2019-01-03 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473273 | Nadia Nasir | Student in an Organized Health Care Education/Training Program | 4710 Bethesda Ave Apt 1512, Bethesda, MD 20814-5226 | 2020-09-28 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1184234478 | Xueting Jin | Student in an Organized Health Care Education/Training Program | Bg 10 Rm 3n248 Msc 1500 10 Center Dr, Bethesda, MD 20892-0001 | 2020-08-03 |
| 1538783147 | Michael D Sisler | Student in an Organized Health Care Education/Training Program | Acgme Program 1801021144 8901 Wisconsin Ave, Bethesda, MD 20889-4759 | 2020-05-31 |
| 1477176741 | Scott Hoener | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Avenue Dept of Behavioral Health, Bethesda, MD 20889-0001 | 2020-05-21 |
| 1477175198 | Marissa Anne Manning | Student in an Organized Health Care Education/Training Program | 4494 Palmer Rd, Bethesda, MD 20889-0001 | 2020-05-15 |
| 1134741457 | Kathleen Elizabeth Bathon | Student in an Organized Health Care Education/Training Program | 4954 North Palmer Road, Internal Medicine Department, American Building 19, Bethesda, MD 20889-5600 | 2020-05-08 |
| 1477172195 | Sidney Elliot Zven | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Iave, Bethesda, MD 20889-0001 | 2020-04-13 |
| 1497374441 | Rebecca Lee | Student in an Organized Health Care Education/Training Program | 4494 North Palmer Road Anesthesiology Department, Bethesda, MD 20889-0001 | 2020-04-09 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
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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.