DR. WILLIAM KRISTIAN ANDERSEN (NPI# 1700850195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700850195 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM KRISTIAN ANDERSEN |
| Credential | M.D. |
| Practice Address |
1120 Se Cary Pkwy Suite 100 Cary NC 27518-7413 |
| Practice Telephone | 9194674992 |
| Practice Fax Number | 9194819607 |
| Mailing Telephone | 9194674992 |
| Mailing Fax Number | 9194819607 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
9600842 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | AETNA HMO | 2350709 | 01 |
| NC | BCBS | 11124 | 01 |
| NC | FIRST HEALTH | 2076472 | 01 |
| NC | AETNA PPO | 5406276 | 01 |
| NC | 8911124 | 05 | |
| NC | UNITED HEALTHCARE | 2111516 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1518253327 | William Donald Andersen | Anesthesiology | 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6983 | 2011-06-21 |
| 1215268024 | William Frederick Andersen | Counselor | 1568 6th Ave, San Diego, CA 92101-3216 | 2010-01-18 |
| 1306035357 | William C Andersen | Neuromusculoskeletal Medicine & OMM | 5045 Hendersonville Rd, Fletcher, NC 28732-6606 | 2007-10-16 |
| 1598773814 | William Clark Andersen | Dentist | 111 E Forest St, Suite C, Brigham City, UT 84302-2127 | 2006-08-03 |
| 1538135900 | William Karl Andersen | Dermatology | 190 N Pointe Blvd, Ste 1, Lancaster, PA 17601 | 2006-02-27 |
| Street Address |
1120 SE CARY PKWY SUITE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27518-7413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622052 | Raymond Mckay Carroll | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2005-07-13 |
| 1861926800 | Justin Akllen Meekins | Physical Therapist | 1120 Se Cary Pkwy, Suite 101, Cary, NC 27518-7413 | 2017-04-17 |
| 1275083974 | Kristen Michelle Mundy | Physician Assistant | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-10-06 |
| 1437603941 | Molly M Mazich | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1326592833 | William Fogarty Iv | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1114471307 | Melissa Capannola | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-05 |
| 1831581180 | Erin Clevenger | Psychologist | 1120 Se Cary Pkwy, Suite 201, Cary, NC 27518-7413 | 2015-02-24 |
| 1851781025 | Elise Caceres-mason | Physician Assistant | 1120 Se Cary Pkwy, #100, Cary, NC 27518-7413 | 2015-01-27 |
| 1518217199 | Christina K Buffington | Occupational Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2012-09-11 |
| 1235408634 | Kenneth Allen Lynnes | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2011-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
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| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295709459 | Lynwood Page Shannon | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27511-7413 | 2006-02-15 |
| 1992779102 | Douglas John Martini | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2006-02-14 |
| 1174597389 | Derek Lawrence Reinke | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27511-7413 | 2006-02-14 |
| 1902870116 | Mark Anthony Curzan | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2006-02-14 |
| 1639143845 | Douglas Lee Gollehon | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2006-02-14 |
| 1164496378 | Brian Thomas Szura | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902241805 | Ian Al'khafaji | Orthopaedic Surgery | 2719 Reynolda Rd, Winston Salem, NC 27106 | 2013-05-06 |
| 1821354812 | Sunny Patel | Orthopaedic Surgery | 1234 Huffman Mill Rd Dept Of, Burlington, NC 27215 | 2012-04-04 |
| 1174763981 | Brett Andrew Fritsch | Orthopaedic Surgery | Duke Sports Medicine Ctr, 300 Frank Bassett Drive, Durham, NC 27710-0001 | 2009-03-06 |
| 1033366885 | Scotland Orthopedics, Pa | Orthopaedic Surgery | 410 D South Jones Street, Pembroke, NC 28372 | 2008-08-23 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1750542411 | Abby B. Maxwell | Orthopaedic Surgery | 3 Mcdowell St, Suite B, Asheville, NC 28801-4103 | 2008-06-24 |
| 1518130418 | Jeffrey Tweed Spang | Orthopaedic Surgery | University of North Carolina Hospital, Cb# 7055, Chapel Hill, NC 27599-7055 | 2008-04-11 |
| 1184746810 | Kevin Leo Krasinski | Orthopaedic Surgery | 1236 Huffman Mill Rd Ste 1300, Burlington, NC 27215-8700 | 2007-04-04 |
| 1285748970 | Statesville Hma Physician Management, Inc | Orthopaedic Surgery | 340 Signal Hill Dr, Suite A, Statesville, NC 28625-4357 | 2006-08-18 |
| 1467461566 | Timothy Ned Taft | Orthopaedic Surgery | 3154 Bioinformatics Bldg, Cb # 7055 Unc, Chapel Hill, NC 27599-0001 | 2006-08-07 |
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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.