DR. SHARON R ANDERSON (NPI# 1417919432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417919432 |
| Entity Type | Individual |
| Full Name | DR. SHARON R ANDERSON |
| Credential | DPM |
| Practice Address |
1210 Homelife Plz Rolla MO 65401-2512 |
| Mailing Address |
Po Box 130 Rolla MO 65402-0130 |
| Practice Telephone | 5733412971 |
| Practice Fax Number | 5733418174 |
| Mailing Telephone | 5733412971 |
| Mailing Fax Number | 5733418174 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2010-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000780 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 308858919 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517145 | Sharon E Anderson | Occupational Therapy Assistant | 3 Arrowhead Trl, Ipswich, MA 01938-2413 | 2020-08-03 |
| 1134697253 | Sharon W Anderson | Counselor | 2380 Salvio St # 200, Concord, CA 94520-2193 | 2018-11-06 |
| 1427542521 | Sharon Angella Anderson | Licensed Practical Nurse | 2027 Strang Ave # 2, Bronx, NY 10466-2339 | 2018-06-21 |
| 1003258823 | Sharon D Anderson | Registered Nurse | 16810 Bending Creek Ln, Friendswood, TX 77546-6164 | 2013-07-22 |
| 1891135315 | Sharon Anderson | Home Health Aide | 6106 Hellen Lee Dr, Clinton, MD 20735-3429 | 2013-06-28 |
| 1801230552 | Sharon Kay Anderson | Physical Therapist | 660 Parkcrest Pl Ne, Marietta, GA 30068-4251 | 2013-04-24 |
| 1205154531 | Sharon Anderson | Psychologist | 2949 Sagebrush Dr, Fort Collins, CO 80525-2470 | 2010-05-11 |
| 1942210224 | Sharon Benton Anderson | Nurse Practitioner | 8131 S May St, Chicago, IL 60620-3007 | 2006-08-09 |
| 1023053071 | Sharon G Anderson | Nurse Practitioner | 455 Chickamauga Dr, 104, Dayton, TN 37321-4286 | 2006-06-16 |
| 1891746673 | Sharon J. Anderson | Psychologist | 9550 Forest Ln, Ste #114, Dallas, TX 75243-5992 | 2006-05-15 |
| Street Address |
1210 HOMELIFE PLZ |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619266426 | Rolla Surgical Clinic, LLC | Clinic/Center | 1210 Homelife Plz, Rolla, MO 65401-2512 | 2011-04-01 |
| 1669792099 | Dixie Fox | Podiatrist | 1210 Homelife Plz, Rolla, MO 65401-2512 | 2010-06-08 |
| 1982667366 | Mid-missouri Foot and Ankle Center | Podiatrist | 1210 Homelife Plz, Rolla, MO 65401-2512 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669792099 | Dixie Fox | Podiatrist | 1210 Homelife Plz, Rolla, MO 65401-2512 | 2010-06-08 |
| 1154337202 | Christopher L Johnson | Podiatrist | 1050 W 10th St, Rolla, MO 65401 | 2006-07-31 |
| 1982667366 | Mid-missouri Foot and Ankle Center | Podiatrist | 1210 Homelife Plz, Rolla, MO 65401-2512 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851923023 | Center for Advanced Foot & Ankle Surgery, Inc. | Podiatrist | 3915 Watson Rd Ste 200, Saint Louis, MO 63109-1251 | 2020-02-06 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1144753492 | Creighton Woolsey | Podiatrist | 1155 W Parkview St Ste 2j, Bolivar, MO 65613-8598 | 2017-04-04 |
| 1457701559 | Robert Austin Djali | Podiatrist | 1224 Graham Rd Ste 3010, Florissant, MO 63031-8028 | 2016-06-20 |
| 1770978074 | Shelly Diane Sedberry | Podiatrist | 1801 W 32nd St Bldg C, Joplin, MO 64804 | 2015-04-02 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1093117335 | True Health Integration and Synergy | Podiatrist | 6311 Ronald Reagan Dr, #167, Lake St Louis, MO 63367-2681 | 2014-09-18 |
| 1710305677 | Kevin M Renner | Podiatrist | 225 Physicians Park Ste 102, Poplar Bluff, MO 63901-3918 | 2014-03-28 |
| 1134474554 | Rajan K Patel | Podiatrist | 3930 S Jackson Dr, Apt 308, Independence, MO 64057-1706 | 2012-07-23 |
| 1720346307 | Feet for Life Centers Inc PC | Podiatrist | 17201 Chesterfield Airport Rd, Chesterfield, MO 63005-1423 | 2012-05-02 |
| Find all providers with the same taxonomy | ||||
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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.