ERIC ARTHUR ANDERSON (NPI# 1801220454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801220454 |
| Entity Type | Individual |
| Full Name | ERIC ARTHUR ANDERSON |
| Credential | PA-C |
| Practice Address |
47 Doc Perkes Rd Afton WY 83110-7703 |
| Mailing Address |
740 S Woodruff Ave Idaho Falls ID 83401-5285 |
| Practice Telephone | 3078853637 |
| Practice Fax Number | 3078853638 |
| Mailing Telephone | 2085429111 |
| Mailing Fax Number | 2085429114 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.60410145 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60410145 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | STATE | PT890 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1952 Harrison Drive, Evanston, WY 829308293 | 3072880404 | 3072880281 |
| 2761 Commercial Way, Rock Springs, WY 829014753 | 3073823064 | 3073823065 |
| 3475 N Saratoga St, Building 993, Oak Harbor, WA 982788800 | 3602579646 | |
| 4008 W 27th Ave Ste 103, Kennewick, WA 99337 | 5099422355 | 5092221289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972063675 | Eric Joseph Anderson | Peer Specialist | 3310 W Idaho Ave, Chickasha, OK 73018-6005 | 2019-03-20 |
| 1932668589 | Eric Matthew Anderson | Counselor | 1229 Winsted Rd Unit 95, Torrington, CT 06790-2951 | 2019-03-13 |
| 1881114015 | Eric Michael Anderson | Dentist | 2925 Premiere Pkwy Ste 165, Duluth, GA 30097-5258 | 2017-06-20 |
| 1821375841 | Eric John Anderson | Respiratory Therapist, Certified | 2059 Jaybrook Dr, Rancho Palos Verdes, CA 90275-2033 | 2011-11-04 |
| 1497042725 | Eric Paul Anderson | Dentist | 20971 E Smoky Hill Rd Ste 202, Centennial, CO 80015-5187 | 2011-07-07 |
| 1962729327 | Eric Patrick Anderson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 910 E 26th St Ste 100-200, Minneapolis, MN 55404 | 2010-04-26 |
| 1588808034 | Eric Robert Anderson | Psychiatry & Neurology | 2152 Spring Creek Rd, Decatur, GA 30033-2608 | 2009-04-28 |
| 1811159973 | Eric T Anderson | Anesthesiology | 500 W Main St Ste 230, Lewisville, TX 75057-3629 | 2008-06-30 |
| 1548304884 | Eric Scott Anderson | Dentist | 292 E 3900 S, Ste 7, Murray, UT 84107-1557 | 2007-02-19 |
| 1649319500 | Eric D Anderson | Surgery | 5169 Cottonwood St Ste 410, Murray, UT 84107-6769 | 2007-02-06 |
| Street Address |
47 DOC PERKES RD |
| City | AFTON |
| State | WY |
| Zip Code | 83110-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047431 | Sterling Provider Group | Clinic/Center | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2019-11-08 |
| 1457842486 | Therapy Works LLC | Durable Medical Equipment & Medical Supplies | 47 Doc Perkes Rd, Afton, WY 83110 | 2018-05-25 |
| 1205348935 | Sterling Physician Group Pllc | Clinic/Center | 47 Doc Perkes Rd, Afton, WY 83110 | 2017-11-03 |
| 1255843462 | High Country Medical Supply | Durable Medical Equipment & Medical Supplies | 47 Doc Perkes Rd, Afton, WY 83110 | 2017-10-27 |
| 1164805123 | Alexander Scharmann | Physical Therapist | 47 Doc Perkes Rd, Afton, WY 83110 | 2015-07-08 |
| 1235549932 | Zachary T Migel | Physician Assistant | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2014-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269569 | Allred Performance and Rehabilitation LLC | Physical Therapist | 533 Allred Rd, Afton, WY 83110 | 2020-09-15 |
| 1427691211 | Rhet Mitchell Long | Pharmacist | 307 S Washington, Afton, WY 83110 | 2019-10-24 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1649737560 | Our Valley Pharmacy | Pharmacy | 307 South Washington, Afton, WY 83110 | 2019-02-27 |
| 1073090585 | Star Valley Healthcare, Inc. | Home Health | 625 S Washington St, Ste B, Afton, WY 83110 | 2018-07-26 |
| 1669962247 | Easy Access LLC. | Durable Medical Equipment & Medical Supplies | 152 Hillview Dr., Afton, WY 83110 | 2018-05-18 |
| 1457890659 | Beyond Home Living, LLC | Assisted Living Facility | 153 Doyle Child Circle, Afton, WY 83110 | 2017-02-21 |
| 1396294914 | Jamie Armstrong | Speech-Language Pathologist | 675 Washington, Afton, WY 83110 | 2016-09-23 |
| 1295184398 | Northwest Home Health LLC | Home Health | 422 South Washington, Ste F, Afton, WY 83110 | 2016-06-09 |
| 1811363955 | Ashley Hall | Registered Nurse | 125 South Washington, Afton, WY 83110 | 2015-08-12 |
| Find all providers in zip 83110 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235549932 | Zachary T Migel | Physician Assistant | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2014-05-02 |
| 1881841898 | Kyle Hirschi | Physician Assistant | 110 Hospital Lane, Afton, WY 83110-0579 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364051 | Breiana Pedersen | Physician Assistant | 705 Robbies View Dr, Lander, WY 82520-3951 | 2020-10-25 |
| 1821695339 | Breanna Alisia Young | Physician Assistant | 521 Shoshoni Trl, Glenrock, WY 82637-5217 | 2020-10-07 |
| 1083187199 | Chelsea Eddington | Physician Assistant | 620 Granite Peak Dr Apt 307, Casper, WY 82609-4551 | 2019-01-10 |
| 1174006928 | Robert Walter Carpenter | Physician Assistant | 1208 Hilltop Dr Ste 203, Rock Springs, WY 82901-5859 | 2018-09-07 |
| 1821595224 | Abby Rogers | Physician Assistant | 1331 Prairie Ave Ste 2, Cheyenne, WY 82009-4867 | 2018-04-11 |
| 1467950154 | Kaylun Grandy | Physician Assistant | 1952 Harrison Drive, Evanston, WY 82930-3241 | 2018-01-27 |
| 1336657527 | Lauren Andrews | Physician Assistant | 4140a Laramie St, Cheyenne, WY 82001-1969 | 2018-01-22 |
| 1326591058 | Gale Dahlager Crozier | Physician Assistant | 1 Interloop Rd, Jackson Lake Lodge, Moran, WY 83013 | 2016-07-29 |
| 1255724258 | Jason L Ray | Physician Assistant | 103 W. 3rd St., Marbleton, WY 83113 | 2015-03-15 |
| 1679972798 | Jeffrey Brown | Physician Assistant | 925 Birch St, Glenrock, WY 82637-0786 | 2014-08-14 |
| 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.