ANTHONY ANDERSON (NPI# 1508901596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508901596 |
Entity Type | Individual |
Full Name | ANTHONY ANDERSON |
Credential | P.A. |
Practice Address |
1327 Troup Hwy Suite 600 Tyler TX 75701-4443 |
Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
Practice Telephone | 9035108840 |
Practice Fax Number | 9035101121 |
Mailing Telephone | 9033246400 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2017-02-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA02057 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 1508901596 | 05 | |
TX | TRICARE | 75-2616977-028 | 01 |
TX | RAIL ROAD MEDICARE | P01572426 | 01 |
TX | TEXAS STATE LICENSE | PA02057 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619427374 | Anthony Jamaal Anderson | Specialist | 295 Debuys Rd, Gulfport, MS 39507-2800 | 2016-10-06 |
1508021726 | Anthony J Anderson | Family Medicine | 1501 Hiland Ave Ste A, Burley, ID 83318-2682 | 2008-07-28 |
1679524094 | Anthony Anderson | Anesthesiology | 1479a U.S. Highway 61, Festus, MO 63028-4123 | 2006-05-12 |
1760445514 | Anthony Shane Anderson | Internal Medicine | 1515 W Cornwallis Dr, Suite G103, Greensboro, NC 27408-6338 | 2006-04-11 |
1508466491 | Anthony Anderson | Pharmacist | 1140 E Stuart Dr, Galax, VA 24333-2630 | 2020-10-29 |
1073139663 | Anthony Anderson | Pharmacist | 2110 Stringtown Rd, Grove City, OH 43123-2931 | 2020-06-19 |
1710515986 | Anthony Davis Anderson | Pharmacist | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-04-01 |
1548723356 | Anthony Alan Anderson | Case Manager/Care Coordinator | 55 Bluff Lake Rd, Mascotte, FL 34753-9536 | 2019-04-09 |
1427539774 | Anthony Anderson | Occupational Therapy Assistant | 5598 8th St W Unit 3, Lehigh Acres, FL 33971-6341 | 2018-08-24 |
1104314996 | Anthony Anderson | Community/Behavioral Health | 2882 Cricket Ln, Willoughby Hills, OH 44092-1412 | 2018-04-26 |
Street Address |
1327 TROUP HWY SUITE 600 |
City | TYLER |
State | TX |
Zip Code | 75701-4443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225035827 | Ming Lu | Ophthalmology | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2005-06-28 |
1558886788 | Nicole Rawlings | Specialist/Technologist | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2017-08-09 |
1902225238 | Dustin Stidger | Internal Medicine | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2014-04-15 |
1851728240 | Michelle L Cook | Nurse Practitioner | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2013-10-01 |
1306289186 | Jeremy Russell Cefalu | Ophthalmology | 1327 Troup Hwy, Tyler, TX 75701 | 2013-04-11 |
1972866283 | Jon-michael Glen Cline | Family Medicine | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2012-06-21 |
1043505001 | Heather Leigh Licht | Orthopaedic Surgery | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2011-06-17 |
1104120989 | Trincare Inc | Clinic/Center | 1327 Troup Hwy, Suite C, Tyler, TX 75701-4443 | 2011-01-07 |
1225342074 | Charles D Smith | Optometrist | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2010-08-04 |
1780840603 | Jayesh Kishor Patel | Orthopaedic Surgery | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2008-07-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
Find all providers in zip 75701 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972129997 | Elizabeth Niedrauer | Physician Assistant | 2314 S Kennedy Ave, Tyler, TX 75701-5242 | 2020-06-25 |
1629489042 | Lifetime Health Center | Physician Assistant | 1420 Wsw Loop 323, Suite 100, Tyler, TX 75701-9347 | 2014-05-20 |
1407273428 | East Texas Physician Assistant Services | Physician Assistant | 5380 Old Bullard Rd Ste 600-125, Tyler, TX 75703-3607 | 2014-03-27 |
1023356524 | Vitality Center | Physician Assistant | 14444 Eastside Rd, Tyler, TX 75707-6724 | 2013-01-18 |
1790029007 | John M Mclean | Physician Assistant | 3700 Mcdonald Rd, Apt 260, Tyler, TX 75701-6253 | 2012-11-27 |
1124058524 | David Beck | Physician Assistant | 1133 Medical Dr, Tyler, TX 75701-2130 | 2006-07-03 |
1467444141 | Thomas R Scholler | Physician Assistant | 703 S Fleishel Ave, Tyler, TX 75701-2015 | 2005-08-18 |
1376535054 | Stephanie S Carter | Physician Assistant | 703 S Fleishel Ave Ste 4000, Tyler, TX 75701 | 2005-08-18 |
1992797799 | Matthew M Hand | Physician Assistant | 619 S Fleishel Ave, Suite 101, Tyler, TX 75701-2004 | 2005-08-17 |
1518962299 | Nina Beth Partin | Physician Assistant | 910 E Houston St, Ste 550, Tyler, TX 75702-8369 | 2005-06-17 |
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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.