MARK SPENCER ANDERSON (NPI# 1821357179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821357179 |
| Entity Type | Individual |
| Full Name | MARK SPENCER ANDERSON |
| Credential | M.D. |
| Practice Address |
101 Hospital Loop Ne Ste 201 Albuquerque NM 87109-2128 |
| Practice Telephone | 5057274430 |
| Practice Fax Number | 5057279401 |
| Mailing Telephone | 5057275443 |
| Mailing Fax Number | 5057279401 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD2019-0224 | NM | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD2019-0224 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RS2018-0355 | NM | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 48476854 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11234 Anderson St, Gme Office Csp 21005, Loma Linda, CA 923542804 | 9095586444 | |
| Msc10 5600 1 University of New Mexico, Albuquerque, NM 87131 | 5052724107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326607383 | Mark Anderson | Massage Therapist | 1978 Addison Ave E, Twin Falls, ID 83301-5304 | 2019-06-12 |
| 1427403468 | Mark Anthony Anderson | Student in an Organized Health Care Education/Training Program | 157 E Rose St, Lebanon, OR 97355-4231 | 2016-04-27 |
| 1356732887 | Mark David Anderson | Licensed Practical Nurse | 227 Island Cottage Rd., Rochester, NY 14612-3627 | 2015-02-05 |
| 1134562903 | Mark William Anderson | Marriage & Family Therapist | 500 S. 580 W., Escalante, UT 84726 | 2013-04-11 |
| 1629334073 | Mark Gruen Anderson | Pharmacist | 2615 Eastern Ave, Plymouth, WI 53073-4270 | 2012-04-10 |
| 1629342928 | Mark Anderson | Social Worker | 140 Griggs Dr, Princeton, NJ 08540-7672 | 2012-03-05 |
| 1912271818 | Mark D Anderson | Licensed Practical Nurse | 4210 Wood Park Dr, Stow, OH 44224-2651 | 2012-02-24 |
| 1982905261 | Mark Alan Anderson | Pharmacist | 860 N Cleveland Ave, Loveland, CO 80537-4717 | 2010-11-03 |
| 1487822771 | Mark R Anderson | Counselor | 106 N Kenosha Dr, Madison, WI 53705-2633 | 2008-02-20 |
| 1174736953 | Mark Arthur Anderson | Specialist | 333 O'connor Dr, San Jose, CA 95128 | 2007-05-08 |
| Street Address |
101 HOSPITAL LOOP NE STE 201 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731628 | David R Sotelo | Podiatrist | 101 Hospital Loop Ne Ste 201, Albuquerque, NM 87109 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 |
|---|---|---|---|---|
| 1336322882 | Andrea Lese | Orthopaedic Surgery | Msc10 5600 1 University of New Mexico, Unm Department of Orthopaedics, Albuquerque, NM 87131-0001 | 2007-12-06 |
| 1063606721 | Nathan Gopi Menon | Orthopaedic Surgery | Msc Orthopedics 1 University of New Mexico, Albuquerque, NM 87131-1855 | 2007-09-05 |
| 1700076197 | James Clark | Orthopaedic Surgery | Department of Orthopaedics & Rehabilitation, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-07-31 |
| 1073723375 | Kenna Larsen | Orthopaedic Surgery | Msc 105600, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-05-23 |
| 1619266574 | James Cameron Rose | Orthopaedic Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2011-03-31 |
| 1831284009 | Laura A. Mitchell | Orthopaedic Surgery | 1100 Central Ave Se, Phs Wound Clinic, Albuquerque, NM 87106-4930 | 2006-10-04 |
| 1245266261 | Charles R Pribyl | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-06-23 |
| 1255319786 | David A Bernstein | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-01-05 |
| 1235117763 | Matthew W Patton | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932182441 | Franklin Guttmann | Orthopaedic Surgery | 4100 High Resort Blvd, Pmg High Resort 4100, Rio Rancho, NM 87124 | 2005-11-29 |
| 1699768051 | Yolanda Martinez-salazar | Orthopaedic Surgery | 1010 Spruce St, Espanola Multi-specialty Clinic, Espanola, NM 87532 | 2005-08-31 |
| 1003819335 | Charles Lawrence Metzger | Orthopaedic Surgery | 4351 E Lohman Ave, Suite301, Las Cruces, NM 88011-8259 | 2005-05-31 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on MARK SPENCER 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.