DR. JESSE ANDERSON (NPI# 1629580436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629580436 |
| Entity Type | Individual |
| Full Name | DR. JESSE ANDERSON |
| Credential | MD |
| Practice Address |
18444 N 25th Ave Ste 210 Phoenix AZ 85023 |
| Mailing Address |
18444 N 25th Ave Ste 310 Phoenix AZ 85023-1266 |
| Practice Telephone | 8669742673 |
| Practice Fax Number | 8669392673 |
| Mailing Telephone | 8669742673 |
| Mailing Fax Number | 8669392673 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 56432 | AZ | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 042.0013905 | VT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403112 | Jesse Anderson | Social Worker | 1303c Nicholas St, Easton, PA 18045 | 2020-03-25 |
| 1538661186 | Jesse Anderson | Specialist/Technologist | 102 Iverson St W, Saint Joseph, MN 56374-4650 | 2018-02-28 |
| 1518368836 | Jesse Anderson | Chiropractor | 982 N Taylor St, Green Bay, WI 54303-1202 | 2014-09-05 |
| 1164710349 | Jesse Lee Anderson | Physical Therapist | 30 Lawrence Rd Ste 900, Broomall, PA 19008-3301 | 2011-07-21 |
| 1770583080 | Jesse Anderson IIi | Podiatrist | 2401 Godwin Blvd Ste 1, Suffolk, VA 23434-8178 | 2005-07-28 |
| 1750916763 | Jesse Michael Anderson | Physician Assistant | 35 State Ave Ste 1, Faribault, MN 55021-6369 | 2020-03-10 |
| 1578069340 | Jesse Paul Anderson | Behavioral Analyst | 102 Westlake Dr, West Lake Hills, TX 78746-5394 | 2018-04-02 |
| 1104378215 | Jesse Ward Anderson | Physician Assistant | 207 Foote Ave, Jamestown, NY 14701-7077 | 2016-10-25 |
| 1720333628 | Jesse Willis Anderson | Registered Nurse | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2012-07-17 |
| 1497835474 | Jesse Anderson | Pharmacy Technician | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-16 |
| Street Address |
18444 N 25TH AVE STE 210 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942279948 | Kelly D Krohn | Internal Medicine | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2006-03-14 |
| 1578029336 | Chad Gleason | Physician Assistant | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2019-02-18 |
| 1407343510 | Joseph Duke | Physician Assistant | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 | 2018-04-16 |
| 1508368101 | Robert Ravinsky | Orthopaedic Surgery | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2018-02-28 |
| 1457866147 | Marshall Mckinley Hughes | Physician Assistant | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2017-12-04 |
| 1932610862 | Kristen Nicole Hogan | Nurse Practitioner | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2017-10-18 |
| 1922530724 | Jessica Arneson | Podiatrist | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2017-03-30 |
| 1841641974 | Tonda Wooten Silva | Podiatrist | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2016-06-30 |
| 1861840274 | Jordan W Crafton | Assistant, Podiatric | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2016-05-25 |
| 1679932206 | Karen Allyse Rosen-wasserman | Physical Medicine & Rehabilitation | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023-1264 | 2016-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265468 | Dildora Turakulova | Home Health | 2238 West Faria Ln, Phoenix, AZ 85023 | 2018-11-27 |
| 1043700032 | Bell Treatment Center | Clinic/Center | 1614 W Bell Rd, Phoenix, AZ 85023 | 2018-05-15 |
| 1518475755 | Ami Marie Podlesnik | Occupational Therapy Assistant | 14814 N 24th Dr Unit 2, Phoenix, AZ 85023 | 2018-01-22 |
| 1821515222 | In Touch Health & Wellness LLC | Chiropractor | 2306 W Greenway Rd, Phoenix, AZ 85023 | 2017-08-25 |
| 1184974115 | Craig R Kurtz | Physical Therapy Assistant | 722 W. Beck Lane, Phoenix, AZ 85023 | 2012-09-18 |
| 1578836078 | In Touch Chiropractic | Chiropractor | 2302 W. Greenway Rd., Phoenix, AZ 85023 | 2012-02-14 |
| 1336410448 | Daniel Jerome Shumway | Massage Therapist | 3033 W. Bell Rd Ste 101-a, Phoenix, AZ 85023 | 2012-01-20 |
| 1659640266 | Valley of The Sun Assisted Living Homes LLC | Custodial Care Facility | 18039 N. 19th Ln., Phoenix, AZ 85023 | 2011-12-28 |
| 1518110709 | Edward L Schwartz | Internal Medicine | 14259 North Coral Gables Drive, Phoenix, AZ 85023 | 2008-10-31 |
| 1477711299 | Kratu Inc | Early Intervention Provider Agency | 16036 N 11th Ave, Unit 1025, Phoenix, AZ 85023 | 2008-05-29 |
| Find all providers in zip 85023 | ||||
| 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 |
|---|---|---|---|---|
| 1134609746 | Arizona Arthritis and Rheumatology Associates | Orthopaedic Surgery | 9520 W Palm Ln Ste 220, Phoenix, AZ 85037-4403 | 2018-08-14 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1467829184 | Az Sports Clinic, LLC | Orthopaedic Surgery | 7797 W. Paradise Lane Suite 130, Phoenix, AZ 85382-3588 | 2015-08-28 |
| 1275911620 | Scott Howard Conant | Orthopaedic Surgery | 475 N 5th St, Phoenix, AZ 85004-2157 | 2015-05-18 |
| 1831500172 | Paramjit Singh | Orthopaedic Surgery | 9305 W Thomas Rd Ste 305, Phoenix, AZ 85037-3366 | 2014-05-08 |
| 1831537414 | Seth Andrew Christensen | Orthopaedic Surgery | 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 | 2013-06-05 |
| 1679819304 | Integrated Medical Services Inc | Orthopaedic Surgery | 4550 E Bell Rd Ste 280, Phoenix, AZ 85032-9384 | 2012-12-28 |
| 1235494741 | Benjamin Albert | Orthopaedic Surgery | 6950 E Chauncey Ln Ste 100, Phoenix, AZ 85054-5179 | 2012-07-10 |
| 1629349469 | Alfred Franklin D'anca | Orthopaedic Surgery | 4019 Trails End Ct, Phoenix, MD 21131-1860 | 2012-01-25 |
| 1922399088 | Patricia Ann Drace | Orthopaedic Surgery | 1919 E Thomas Rd Fl 2, Phoenix, AZ 85016 | 2011-04-25 |
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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.