KEITH G ANDERSON (NPI# 1770583049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770583049 |
| Entity Type | Individual |
| Full Name | KEITH G ANDERSON |
| Credential | M.D. |
| Practice Address |
7460 Wolf River Boulevard Germantown TN 38138 |
| Mailing Address |
Po Box 1000 Dept 960 Memphis TN 38148-0001 |
| Practice Telephone | 9017630200 |
| Practice Fax Number | 9012601713 |
| Mailing Telephone | 9017630200 |
| Mailing Fax Number | 9012601713 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
16687 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
16687 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00116765 | 05 | |
| AR | 117803001 | 05 | |
| TN | BCBS | 4270275 | 01 |
| TN | RAILROAD MEDICARE | P00854010 | 01 |
| TN | 1519975 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144579343 | Keith Alan Anderson | Chiropractor | 208 S Burlington Ave Ste 114, Hastings, NE 68901-5950 | 2012-09-04 |
| 1174654917 | Keith John Anderson | Psychologist | 110 8th St., Troy, NY 12180 | 2007-03-07 |
| 1790245611 | Keith Anderson Jr. | Student in an Organized Health Care Education/Training Program | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2019-03-25 |
| 1275035503 | Keith Francis Anderson Jr. | Speech-Language Pathologist | 180 W 80th St, New York, NY 10024-6378 | 2018-03-02 |
| 1578072948 | Keith Michael Anderson | Social Worker | 608 Wright Ave, Alma, MI 48801-1617 | 2017-09-28 |
| 1295196566 | Keith Anderson | Student in an Organized Health Care Education/Training Program | 3302 Gaston Ave, Dallas, TX 75246-2013 | 2016-03-15 |
| 1891039814 | Keith Erwin Anderson | Social Worker | 3600 Broadway, Suite 19, West Palm Beach, FL 33407-4844 | 2012-11-15 |
| 1902185051 | Keith Richard Anderson | Podiatrist | 7231 Sunwood Dr Nw, Ramsey, MN 55303-5190 | 2011-08-08 |
| 1982863312 | Keith A Anderson | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2008-06-02 |
| 1174652606 | Keith Alan Anderson | Family Medicine | 200 Greenwich Rd, Charlotte, NC 28211-2316 | 2007-03-02 |
| Street Address |
7460 WOLF RIVER BOULEVARD |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083614572 | James J Stamper | Internal Medicine | 7460 Wolf River Boulevard, Germantown, TN 38138 | 2005-07-26 |
| 1811040553 | Marisa Pirraglia | Nurse Practitioner | 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P. C., Germantown, TN 38138 | 2007-01-18 |
| 1457404154 | Terri L Hall | Nurse Practitioner | 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P. C., Germantown, TN 38138 | 2007-01-18 |
| 1023161700 | Brenda S Cole | Nurse Practitioner | 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P. C., Germantown, TN 38138 | 2007-01-18 |
| 1740391804 | Sutherland Cardiology Clinic, P.C. | Specialist | 7460 Wolf River Boulevard, Germantown, TN 38138 | 2006-08-31 |
| 1881633436 | April Michelle Boyd | Nurse Practitioner | 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P.C., Germantown, TN 38138 | 2006-06-06 |
| 1073513008 | Lisa Jackson Young | Internal Medicine | 7460 Wolf River Boulevard, Germantown, TN 38138 | 2005-08-01 |
| 1992705925 | Antonio C Quiroz | Specialist | 7460 Wolf River Boulevard, Germantown, TN 38138 | 2005-08-01 |
| 1609876036 | Michael B Mcdonald | Internal Medicine | 7460 Wolf River Boulevard, Germantown, TN 38138 | 2005-07-28 |
| 1962402487 | Maureen A Smithers | Internal Medicine | 7460 Wolf River Boulevard, Germantown, TN 38138 | 2005-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407122989 | Shankho Shuvro Ganguli | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2012-03-28 |
| 1124209663 | Yaser Cheema | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138 | 2007-11-26 |
| 1073731592 | Basil Mantas Paulus | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2007-04-22 |
| 1841370475 | Haris Zafarullah | Internal Medicine | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145456 | Cardiovascular & Vein Associates Pllc | Internal Medicine | 2785 Summer Oaks Dr, Bartlett, TN 38134-2883 | 2019-10-16 |
| 1063910529 | James Joseph Acker I | Internal Medicine | 205 Todaly Cir, Loudon, TN 37774-2990 | 2018-01-30 |
| 1215445192 | Cardiac Cin of Middle Tennessee LLC | Internal Medicine | 315 Deaderick St Ste 1550c, Nashville, TN 37238-3000 | 2018-01-13 |
| 1588172464 | Cardiac Cin of West Tennessee LLC | Internal Medicine | 5865 Ridgeway Center Pkwy Ste 300c, Memphis, TN 38120-4032 | 2018-01-13 |
| 1922520873 | Telemedico Physicians Professional Corporation | Internal Medicine | 5490 Shady Grove Ter, Memphis, TN 38120-2414 | 2017-07-12 |
| 1114455326 | Nashville Heart and Vascular | Internal Medicine | 397 Wallace Rd Ste C216, Nashville, TN 37211-8019 | 2017-06-01 |
| 1942631387 | Cvc Imaging LLC | Internal Medicine | 9203 Sheridan Park Ct, Brentwood, TN 37027-1748 | 2013-12-11 |
| 1730460718 | Ronald Craig Sebold | Internal Medicine | 7450 Chapman Hwy, #309, Knoxville, TN 37920-6614 | 2011-09-02 |
| 1467494070 | Apex Cardiology PC | Internal Medicine | 327 Summar Dr, Jackson, TN 38301-3930 | 2006-06-11 |
| 1700823960 | Thomas Little | Internal Medicine | 228 W. 4th Street, Suite 200, Cookeville, TN 38501 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on KEITH G 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.