PETER J ANDERSON (NPI# 1548245848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548245848 |
| Entity Type | Individual |
| Full Name | PETER J ANDERSON |
| Credential | MD |
| Practice Address |
4802 S State Route 159 Glen Carbon IL 62034-1904 |
| Practice Telephone | 6182884388 |
| Practice Fax Number | 6182884927 |
| Mailing Telephone | 6182884388 |
| Mailing Fax Number | 6182884927 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2011-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036079727 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036079727 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720367964 | Peter Holt Anderson | Marriage & Family Therapist | 6 Hampden St, Gloucester, MA 01930-3618 | 2011-08-05 |
| 1689827677 | Peter David Anderson | Pharmacist | 816 Willard St, Apt. 207, Quincy, MA 02169-7496 | 2008-11-04 |
| 1144337916 | Peter William Anderson | Chiropractor | 2720 Commercial St Se Ste 201, Salem, OR 97302-4586 | 2006-08-25 |
| 1558373407 | Peter Knox Anderson | Optometrist | 71 Crabtree Dr, Levittown, PA 19055-1617 | 2006-08-12 |
| 1811941198 | Peter G Anderson | Emergency Medicine | 17100 Euclid, Fountain Valley, CA 92708 | 2006-05-20 |
| 1396715231 | Peter Lloyd Anderson | Specialist | 1 Old Park Lane, Suite 2, New Milford, CT 06776 | 2006-01-24 |
| 1821076480 | Peter G Anderson | Dentist | 1083 E Maple Rd, Birmingham, MI 48009-6424 | 2006-01-04 |
| 1891249132 | Peter Anderson | Social Worker | 328 Main St, Southbridge, MA 01550-3794 | 2016-08-03 |
| 1417335118 | Peter Anderson Jr. | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2015-05-13 |
| 1861883530 | Peter Anderson | Physical Therapist | 16560 Wedge Parkway, Suite 200-a, Reno, NV 89511-3207 | 2015-02-16 |
| Street Address |
4802 S STATE ROUTE 159 |
| City | GLEN CARBON |
| State | IL |
| Zip Code | 62034-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861672677 | Granite City Orthopedic Physicians Company LLC | Durable Medical Equipment & Medical Supplies | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-11-08 |
| 1891811071 | David J Elliff | Physical Therapist | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-03-21 |
| 1144346248 | Michelle Vermaux | Physical Therapist | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-03-21 |
| 1639295827 | Donna Blood | Occupational Therapist | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-03-21 |
| 1639223571 | Thomas Zaiz | Physician Assistant | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-01-22 |
| 1366591646 | Scott D Knox | Physician Assistant | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2007-01-09 |
| 1508810920 | Granite City Orthopedic Physicians Company LLC | Clinic/Center | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2006-05-20 |
| 1689633968 | Marie Ann Robison | Specialist/Technologist | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2006-03-23 |
| 1437134731 | Craig A Beyer | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| 1881679181 | Paul J Scherer | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
| 1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
| 1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
| 1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1215224357 | Angela Eleni Kioultzopoulos | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62034 | 2011-07-08 |
| 1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
| 1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
| Find all providers in zip 62034 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396765848 | Advanced Orthopedic Clinic LLC | Orthopaedic Surgery | 3 Country Club Executive Park, Suite 100, Glen Carbon, IL 62034-1583 | 2006-07-20 |
| 1437134731 | Craig A Beyer | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| 1881679181 | Paul J Scherer | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| 1306821616 | James Sola | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| 1124003439 | Timothy J Penn | Orthopaedic Surgery | 4802 S State Route 159, Glen Carbon, IL 62034-1904 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834680 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1200 S York St Ste 4110, Elmhurst, IL 60126-5630 | 2020-09-02 |
| 1790303725 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1009 Il Route 22 Ste 2, Fox River Grove, IL 60021-1998 | 2020-07-07 |
| 1104440049 | Elliot M Johns | Orthopaedic Surgery | 301 N 8th St Ste 3a158, Springfield, IL 62701-1085 | 2020-06-06 |
| 1740804764 | David Alan Forgas | Orthopaedic Surgery | 901 N 1st St # D252, Springfield, IL 62702-3759 | 2020-06-05 |
| 1700417185 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 | 2020-02-04 |
| 1588207799 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 2719 W Algonquin Rd, Algonquin, IL 60102-9400 | 2019-10-21 |
| 1669020848 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 406 Front St Ste 100, Mchenry, IL 60050-5593 | 2019-08-30 |
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
| City | GLEN CARBON |
| Zip Code | 62034 |
Please comment or provide details below to improve the information on PETER J 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.