ANDREW ROBERT ANDERSON (NPI# 1316457484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316457484 |
| Entity Type | Individual |
| Full Name | ANDREW ROBERT ANDERSON |
| Credential | CAA |
| Practice Address |
1 Shircliff Way Jacksonville FL 32204-4748 |
| Mailing Address |
11685 Hidden Hills Dr S Jacksonville FL 32225-3685 |
| Practice Telephone | 9043874030 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780200022 | Andrew Anderson | Nurse Practitioner | 208 Michigan Ave, Gladstone, MI 49837-1914 | 2020-06-23 |
| 1619456381 | Andrew S Anderson | Pharmacist | 2801 Lemmon Ave Ste 100, Dallas, TX 75204-2396 | 2018-08-13 |
| 1942796610 | Andrew Joseph Anderson | Social Worker | 14908 Deerwood Dr, Burnsville, MN 55306-4813 | 2018-07-06 |
| 1588051734 | Andrew Stephen Anderson Jr. | Pediatrics | 7521 Right Flank Rd Ste 100, Mechanicsville, VA 23116 | 2015-04-24 |
| 1164845632 | Andrew Joseph Anderson | Family Medicine | 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 | 2014-02-03 |
| 1528182839 | Andrew E Anderson | Physician Assistant | 1340 N Highway 377 Ste 110, Pilot Point, TX 76258-3765 | 2007-03-19 |
| 1073140711 | Andrew Bubba Anderson | Counselor | 71 Centennial Loop Ste A, Eugene, OR 97401-2443 | 2020-03-24 |
| 1669005757 | Andrew Anderson | Counselor | 2008 Libbie Ave Ste 101, Richmond, VA 23226-1838 | 2020-02-17 |
| 1336609916 | Andrew Dylan Anderson | Student in an Organized Health Care Education/Training Program | 677 Church Street, Attn: Gme, Marietta, GA 30060-4237 | 2019-03-21 |
| 1316466386 | Andrew Eric Anderson | Counselor | 784 High St, San Luis Obispo, CA 93401-5243 | 2017-09-11 |
| Street Address |
1 SHIRCLIFF WAY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738367 | Emergency Medical Specialists of Jacksonville | Emergency Medicine | 1 Shircliff Way, Jacksonville, FL 32204-4778 | 2005-05-23 |
| 1033725858 | Kathleen Fry | Registered Nurse | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2020-09-17 |
| 1841808912 | Jade Leanne Nelson Donegal | Registered Nurse | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2020-07-15 |
| 1124642731 | Arielle Christina Griffin | Social Worker | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2020-05-31 |
| 1639709199 | Tom Wonneberger | Physician Assistant | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2020-01-23 |
| 1114557162 | Janet Marie Goodson | Registered Nurse | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2020-01-17 |
| 1487291472 | Megan Elaine Karbowski | Anesthesiologist Assistant | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2019-12-09 |
| 1124663182 | Douglas Earl Stilwell | Nurse Practitioner | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2019-11-14 |
| 1316588908 | Andrew Griffin | Anesthesiologist Assistant | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2019-10-04 |
| 1194366278 | Laura Ann Kereczman | Nurse Practitioner | 1 Shircliff Way, Jacksonville, FL 32204-4748 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327308 | Daniel Le Phan | Anesthesiologist Assistant | 800 Prudential Dr Fl 32207, Jacksonville, FL 32207-8202 | 2020-05-08 |
| 1497395412 | Charles Joshua Thrower | Anesthesiologist Assistant | 1 Shircliff Way # Wat, Jacksonville, FL 32204-4748 | 2020-01-07 |
| 1659856862 | Ian Michael Durham | Anesthesiologist Assistant | 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 | 2018-10-03 |
| 1538535711 | Zeyla Rivero | Anesthesiologist Assistant | 11430 Tiara Way E, Jacksonville, FL 32223-7860 | 2015-08-11 |
| 1902206584 | Maria Williamson | Anesthesiologist Assistant | 1815 Bayard Pl, Jacksonville, FL 32205-8803 | 2014-09-02 |
| 1659705655 | Jessica Hyams Kennedy | Anesthesiologist Assistant | 820 Prudential Dr Ste 606, Jacksonville, FL 32207-8208 | 2013-08-26 |
| 1194003228 | Miguel Mancao IIi | Anesthesiologist Assistant | 10199 Southside Blvd Ste 101, Jacksonville, FL 32256-0757 | 2011-07-22 |
| 1285247411 | Victoria Potts | Anesthesiologist Assistant | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2020-08-27 |
| 1760090302 | Matthew Ryan Jones | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-20 |
| 1295353407 | Taylor Rush Cowart | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
Please comment or provide details below to improve the information on ANDREW ROBERT ANDERSON.
| 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.