ANDERSON PHYSICIAN ALLIANCE, INC. (NPI# 1841598273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841598273 |
| Entity Type | Organization |
| Organization Name | ANDERSON PHYSICIAN ALLIANCE, INC. |
| Other Organization Name | ANDERSON FAMILY MEDICAL CENTER - RIVERBIRCH |
| Practice Address |
2514 67th Avenue Loop Ste 112 Meridian MS 39307-7260 |
| Mailing Address |
2124 14th St Meridian MS 39301-4040 |
| Practice Telephone | 6015530707 |
| Practice Fax Number | 6015530775 |
| Mailing Telephone | 6015536104 |
| Mailing Fax Number | 6015536144 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |
| Authorized Official Name | MR. RICHARD J. HIGHTOWER (PRESIDENT) |
| Authorized Official Telephone | 6015536104 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANDERSON PHYSICIAN ALLIANCE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Anderson Family Medical Center - Riverbirch | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750671665 | Anderson Physician Alliance, Inc. | Family Medicine | 83 Old Mill Creek Road, Enterprise, MS 39330-9649 | 2011-04-12 |
| 1831498872 | Anderson Physician Alliance, Inc. | Obstetrics & Gynecology | 1221 24th Ave, Meridian, MS 39301-3926 | 2011-03-16 |
| 1760798227 | Anderson Physician Alliance, Inc. | Internal Medicine | 2124 14th St, Meridian, MS 39301-4040 | 2010-08-23 |
| Street Address |
2514 67TH AVENUE LOOP STE 112 |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-7260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437644564 | Ronni Rebekah Naramore | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307 | 2018-07-01 |
| 1578058699 | Brody James Leblanc | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307-7260 | 2018-07-01 |
| 1093200123 | Andalib Danandeh | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307-7260 | 2018-07-01 |
| 1750876876 | Dennis L Matthews | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307 | 2018-07-01 |
| 1376038406 | Daniel Khakshooy | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307-7260 | 2018-07-01 |
| 1669987335 | Jason B Brown | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307-7260 | 2017-12-04 |
| 1245743269 | Danielle Marie Parker | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307-7260 | 2017-11-13 |
| 1679094452 | Robin Conley | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307-7260 | 2017-06-30 |
| 1548792732 | Rachel Claire Harper | Family Medicine | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307 | 2017-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211258 | Tiffany Chapman | Family Medicine | 905 S Frontage Rd, Meridian, MS 39301-6113 | 2020-07-01 |
| 1023506466 | Vast Durable Medical Equipment Inc | Family Medicine | 2985 S Meridian Rd Ste 140, Meridian, ID 83642-7961 | 2018-04-30 |
| 1235651498 | Carmeshia M Cain | Family Medicine | 1312 22nd Ave Ste A, Meridian, MS 39301-4015 | 2017-07-10 |
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1619397064 | Sara Jane Aney | Family Medicine | 4949 S Hillsdale Ave, Meridian, ID 83642-7586 | 2014-04-24 |
| 1033534276 | Alliance Medical Group, LLC | Family Medicine | 1623 South Wells Avenue, Meridian, ID 83642 | 2014-02-25 |
| 1275979346 | Matthew Robert Sara | Family Medicine | 1648 Nw 1st St, Meridian, ID 83642-2212 | 2013-05-16 |
| 1093074577 | Marisa A Battaglia | Family Medicine | 1623 Wells Ave, Meridian, ID 83642-5040 | 2012-05-03 |
| 1891051942 | Louise Xian Ye-liew | Family Medicine | 2965 East Tarpon, Suite 150, Meridian, ID 83642 | 2012-04-03 |
| 1912221318 | Unity Health Center Pllc | Family Medicine | 1130 E Fairview Ave, Meridian, ID 83642-1813 | 2010-03-15 |
| Find all providers in MERIDIAN | ||||
Please comment or provide details below to improve the information on ANDERSON PHYSICIAN ALLIANCE, INC..
| 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.