DR. MIKE L ANDERSON (NPI# 1629059423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629059423 |
| Entity Type | Individual |
| Full Name | DR. MIKE L ANDERSON |
| Credential | M.D. |
| Practice Address |
1650 Cochrane Cir Ft Carson CO 80913-4604 |
| Practice Telephone | 7195267979 |
| Mailing Telephone | 7195267979 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
DR.0054806 | CO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD 60071848 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD - 12628 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194033746 | Mike Anderson | Respite Care | 618 Nw 1st St, Meridian, ID 83642-2505 | 2010-09-16 |
| 1225191117 | Mike Anderson | Counselor | 988 Howard St, San Francisco, CA 94103-4183 | 2006-12-19 |
| Street Address |
1650 COCHRANE CIR |
| City | FT CARSON |
| State | CO |
| Zip Code | 80913-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063459 | Michael John Beggs | Physical Therapist | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2019-10-08 |
| 1205301421 | Mitchell Ryan Andreas | Physician Assistant | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2018-10-04 |
| 1427417062 | Justin Grisham | Emergency Medicine | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2016-02-10 |
| 1780060491 | Jason Phillip Aitken | Nurse Anesthetist, Certified Registered | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2015-08-04 |
| 1871985887 | Us Army | Military Hospital | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2015-02-27 |
| 1780076869 | Joseph Milo Hibbert | Pathology | 1650 Cochrane Cir, Ft Carson, CO 80913 | 2015-02-25 |
| 1710384961 | Jonathan Matthew Luppens | Pharmacist | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2014-12-02 |
| 1386059970 | Mario Soto | Emergency Medicine | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2014-06-23 |
| 1407284037 | Remedios Evans | Registered Nurse | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2013-10-16 |
| 1811331846 | Jeffrey T Kay | General Practice | 1650 Cochrane Cir, Ft Carson, CO 80913-4613 | 2013-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013860 | Pueblo Radiological Group, P.C. | Radiology | 245 Balmoral Way, Colorado Springs, CO 80906-7907 | 2020-11-06 |
| 1154922938 | Pueblo Radiological Group, P.C. | Radiology | 3245 E Hwy 50 Unit E, Canon City, CO 81212-9343 | 2020-11-06 |
| 1548861529 | Pueblo Radiological Group, P.C. | Radiology | 1804 Oakmoor Hts, Colorado Springs, CO 80906-1171 | 2020-11-05 |
| 1346855905 | Cher LLC | Radiology | 2236 E Harmony Rd, Fort Collins, CO 80528-3412 | 2020-09-10 |
| 1376153965 | Colorado Springs Radiologists PC | Radiology | 5607 Barnes Rd # 140, Colorado Springs, CO 80917-1347 | 2020-08-07 |
| 1255949608 | Rocky Mountain Cancer Centers LLP | Radiology | 1800 N Williams St Ste 100, Denver, CO 80218-1237 | 2020-07-21 |
| 1376189258 | Smi Imaging LLC | Radiology | 7903 S Broadway Ste A, Littleton, CO 80122-2712 | 2019-11-26 |
| 1548806425 | Smi Imaging LLC | Radiology | 3840 Wadsworth Blvd Ste 5, Wheat Ridge, CO 80033-4613 | 2019-11-26 |
| 1881230829 | Smi Imaging LLC | Radiology | 939 N Broadway, Denver, CO 80203-2705 | 2019-11-25 |
| 1598301533 | Smi Imaging LLC | Radiology | 12520 Grant Dr Ste 200, Thornton, CO 80241-2512 | 2019-11-25 |
| 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.