IAN CHURCHILL ANDERSON (NPI# 1518055573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518055573 |
| Entity Type | Individual |
| Full Name | IAN CHURCHILL ANDERSON |
| Credential | M.D. |
| Practice Address |
3555 Round Barn Cir Santa Rosa CA 95403 |
| Mailing Address |
3555 Round Barn Cir Santa Rosa CA 95403-1757 |
| Practice Telephone | 7075281050 |
| Mailing Telephone | 7075281050 |
| Mailing Fax Number | 7075253874 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
A49481 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A49481 | CA | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
A49481 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A494810 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447769997 | Ian Radford Anderson | Physical Therapist | 315 Medical Pkwy Ste 150, Greer, SC 29650-2456 | 2017-09-28 |
| 1962053314 | Ian Anderson | Counselor | 321 E Main St Ste 418, Bozeman, MT 59715-4702 | 2019-09-26 |
| 1134607534 | Ian Gerard Anderson | Hearing Instrument Specialist | 5602 Cortez Rd W, Bradenton, FL 34210-2819 | 2018-07-30 |
| 1821508268 | Ian Anderson | Specialist/Technologist | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2017-10-11 |
| 1669884433 | Ian Jacob Anderson | Pathology | 22101 Moross Rd # Ccb-sb, Detroit, MI 48236-2148 | 2014-05-28 |
| 1346409109 | Ian P Anderson | Internal Medicine | 825 Barret Ave, Louisville, KY 40204-1743 | 2008-06-06 |
| 1629277678 | Ian Scott Anderson | Anesthesiology | 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524-4000 | 2007-07-11 |
| Street Address |
3555 ROUND BARN CIR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190949 | Lorraine A Champion | Specialist | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2005-10-31 |
| 1043608805 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2015-01-02 |
| 1376963314 | St Jude Hospital Yorba Linda | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2014-04-17 |
| 1770743312 | Sara Ann Keck | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2008-06-16 |
| 1962587444 | Redwood Regional Medical Group, Inc. | Clinical Medical Laboratory | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-25 |
| 1972683753 | Theresa Louise Mortensen | Nurse Practitioner | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-16 |
| 1801986641 | Ralph Bailey Hanahan | Radiology | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-13 |
| 1376633149 | Wes Shen-lin Lee | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-10-13 |
| 1861582322 | Cindy Okada Scharfen | Radiology | 3555 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-10-13 |
| 1013018035 | Jarrod Paul Holmes | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669510665 | Jeffrey Z. Ye | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2007-02-02 |
| 1700960788 | Shafqat M. Akhtar | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1619051695 | Fan Zhang | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1659455640 | Nicolaj Andersen | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1013018035 | Jarrod Paul Holmes | Internal Medicine | 3555 Round Barn Cir, Santa Rosa, CA 95403 | 2006-09-25 |
| 1326060617 | Helen Collins | Internal Medicine | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2006-07-24 |
| 1679590509 | Marek Bozdech | Internal Medicine | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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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.