CHARLES RAYMOND ANDERSON (NPI# 1518965078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518965078 |
| Entity Type | Individual |
| Full Name | CHARLES RAYMOND ANDERSON |
| Credential | MD |
| Practice Address |
1602 Rock Prairie Rd Suite 430 College Station TX 77845-8306 |
| Practice Telephone | 9796930737 |
| Practice Fax Number | 9796937442 |
| Mailing Telephone | 9796930737 |
| Mailing Fax Number | 9796937442 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
F2151 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1538608575 | Charles Anderson | Social Worker | 145 W K St, Casper, WY 82601-1018 | 2017-02-22 |
| 1922451194 | Charles Anderson | Counselor | 4250 River Center Ct Ne, Suite D, Cedar Rapids, IA 52402-7546 | 2016-07-22 |
| 1790172013 | Charles Anderson | Marriage & Family Therapist | 825 Webster St Ste D, Fairfield, CA 94533-5522 | 2015-04-24 |
| 1083054274 | Charles Lee Anderson | Dentist | 2240 E Windrow Ave, Fort Huachuca, AZ 85613-7040 | 2013-07-02 |
| 1427390970 | Charles Anderson Iv | Counselor | 1445 Hartford Ter, Alpharetta, GA 30004-0661 | 2013-03-22 |
| 1376896084 | Charles Nolis Anderson | Pharmacist | 17605 S. Halsted Street, Homewood, IL 60430 | 2012-10-18 |
| 1720377179 | Charles E Anderson | Pharmacist | 3030 Market Ave N, Canton, OH 44714-1428 | 2011-04-06 |
| 1831494194 | Charles Robert Anderson | Behavioral Analyst | 1892 Hollow Oak Dr, Kingston, OK 73439-9745 | 2011-01-18 |
| 1255635215 | Charles H. Anderson | Counselor | 631 Spanish Oak Ct, Arlington, TX 76002-4535 | 2011-01-06 |
| Street Address |
1602 ROCK PRAIRIE RD SUITE 430 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136938 | Randy Wallace Smith | Obstetrics & Gynecology | 1602 Rock Prairie Rd, #430, College Station, TX 77845-8306 | 2005-07-07 |
| 1104392505 | Elizabeth Jane Riley | Nurse Practitioner | 1602 Rock Prairie Rd, College Station, TX 77845-8306 | 2018-10-23 |
| 1871029322 | Katie Hepfer | Nurse Practitioner | 1602 Rock Prairie Rd, Suite 300, College Station, TX 77845-8306 | 2017-05-03 |
| 1508226234 | A.shanmugam M.d | Internal Medicine | 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845-8306 | 2016-02-23 |
| 1851735849 | Caitlin Sears | Physician Assistant | 1602 Rock Prairie Rd, Suite 3400, College Station, TX 77845-8306 | 2013-04-22 |
| 1396084380 | Bcs Allergy & Asthma | Allergy & Immunology | 1602 Rock Prairie Rd, Ste 270, College Station, TX 77845-8306 | 2013-02-11 |
| 1770844664 | Bryan College Station Prosthetics Inc | Prosthetic/Orthotic Supplier | 1602 Rock Prairie Rd, Suite 150, College Station, TX 77845-8306 | 2012-06-06 |
| 1407163660 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #230, College Station, TX 77845-8308 | 2010-09-09 |
| 1043527476 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #1100, College Station, TX 77845-8306 | 2010-09-07 |
| 1598090599 | Iyabode Ogunlade, Md Pa | Specialist | 1602 Rock Prairie Rd, Ste 3000, College Station, TX 77845-8306 | 2009-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922160902 | Martha Carolyn Dannenbaum | Obstetrics & Gynecology | A P Beutel Health Ctr, Tamu 1264, College Station, TX 77843-1264 | 2006-12-15 |
| 1053468777 | Affiliates for Womens Health Pa | Obstetrics & Gynecology | 1602 Rock Prairie Rd, Suite 430, College Station, TX 77845-8306 | 2007-01-04 |
| 1720049422 | William Lowell Rayburn | Obstetrics & Gynecology | 800 Scott and White Dr, College Station, TX 77845-6440 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129458 | Bloom Gynecology LLC | Obstetrics & Gynecology | 3540 E Broad St # 262, Mansfield, TX 76063-5633 | 2020-09-21 |
| 1861003170 | North Texas Cosmetic Surgery, LLC | Obstetrics & Gynecology | 4401 Coit Rd Ste 205, Frisco, TX 75035-0504 | 2020-08-11 |
| 1285279208 | Jill Bynum Farmar | Obstetrics & Gynecology | 4611 Travis St Apt 7, Dallas, TX 75205-5581 | 2019-11-13 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1851745459 | Holly Eliason | Obstetrics & Gynecology | 4085 Ohio Dr Ste 100, Frisco, TX 75035-6245 | 2016-04-20 |
| 1861807968 | Ruby L Holloway, M.d.p.a | Obstetrics & Gynecology | 710 S 8th St Ste B, Beaumont, TX 77701-4634 | 2014-06-26 |
| 1851731319 | Annabelle Lopez M.d., P.a. | Obstetrics & Gynecology | 913 S Airport Dr Ste 201, Weslaco, TX 78596-6629 | 2013-06-28 |
| 1679815286 | Andrew Gene Dillard | Obstetrics & Gynecology | 1717 Weiskopf Dr, Heath, TX 75032-7749 | 2013-03-21 |
| 1689916553 | Peter K Thompson | Obstetrics & Gynecology | 307 Fall River Ct, Houston, TX 77024-5611 | 2013-03-19 |
| 1003158916 | Robert J Morrow | Obstetrics & Gynecology | 2202 Running Springs Dr, Kingwood, TX 77339-3125 | 2013-03-19 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on CHARLES RAYMOND 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.