THOMAS E ANDERSON (NPI# 1871521690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871521690 |
| Entity Type | Individual |
| Full Name | THOMAS E ANDERSON |
| Credential | PA-C |
| Practice Address |
1215 N Beaver St Suite 203 Flagstaff AZ 86001-3126 |
| Mailing Address |
1200 N Beaver St Payer Credentialing Flagstaff AZ 86001-3118 |
| Practice Telephone | 9282132200 |
| Practice Fax Number | 9282132201 |
| Mailing Telephone | 9287732559 |
| Mailing Fax Number | 9282136292 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
5165 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 734099 | 05 | |
| TN | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083053078 | Thomas Joseph Anderson | Radiology | 330 Brookline Ave., Shapiro Clinical Center 4th Floor, Department of Radiology, Beth Israel Deaconess Medical, Boston, MA 02215 | 2013-06-23 |
| 1174858047 | Thomas Christian Anderson | Psychologist | 137 N. Oak Park Avenue, 302a, Oak Park, IL 60301-1422 | 2009-10-12 |
| 1710152517 | Thomas Neal Anderson | Dentist | 25432 Trabuco Rd, #206, Lake Forest, CA 92630-2758 | 2008-04-23 |
| 1770762023 | Thomas E Anderson | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424-2567 | 2007-11-02 |
| 1881897254 | Thomas Frederick Anderson | Dentist | 421 W Twohig, San Angelo, TX 76903 | 2007-06-06 |
| 1720299670 | Thomas Ray Anderson | Dentist | 113 Hwy. 274 S., Kemp, TX 75143-0348 | 2007-05-24 |
| 1750413456 | Thomas T Anderson | Dentist | 2685 Channing Way, Idaho Falls, ID 83404 | 2007-03-09 |
| 1316027824 | Thomas W Anderson | Chiropractor | 4568 Highland Dr Ste 340, Salt Lake City, UT 84117-4233 | 2006-10-17 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1710071626 | Thomas S Anderson | Spec/Tech, Cardiovascular | 1906 Redbud Dr, Rockdale, TX 76567-2550 | 2006-10-03 |
| Street Address |
1215 N BEAVER ST SUITE 203 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802192 | Mark E Donnelly | Specialist | 1215 N Beaver St, Ste 202, Flagstaff, AZ 86001-3126 | 2005-06-22 |
| 1194227918 | Holly Offerman | Speech-Language Pathologist | 1215 N Beaver St, Flagstaff, AZ 86001-3126 | 2018-03-07 |
| 1588118111 | Nathan Alan Moss | Nurse Practitioner | 1215 N Beaver St, Flagstaff, AZ 86001-3126 | 2016-08-11 |
| 1598113672 | Mark Weststeyn | Physical Therapist | 1215 N Beaver St, Flagstaff, AZ 86001-3126 | 2016-05-30 |
| 1063839009 | Angela Hansen | Dietitian, Registered | 1215 N Beaver St, Flagstaff, AZ 86001-3126 | 2014-03-27 |
| 1568887891 | Dore Davidson | Speech-Language Pathologist | 1215 N Beaver St, Flagstaff, AZ 86001 | 2014-02-24 |
| 1821437500 | Diane Margaret Van Cornewal | Counselor | 1215 N Beaver St, Flagstaff Medical Center, Flagstaff, AZ 86001-3126 | 2013-06-17 |
| 1992064927 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 1215 N Beaver St, Flagstaff, AZ 86001-3126 | 2012-05-11 |
| 1619120847 | Nicole Sasser | Speech-Language Pathologist | 1215 N Beaver St, Flagstaff, AZ 86001-3126 | 2008-10-31 |
| 1477706281 | Cintamani H. Ellsworth | Speech-Language Pathologist | 1215 N Beaver St, Flagstaff, AZ 86001-3126 | 2008-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962857383 | Kimberly J. Sargent Pa-c, Pllc | Physician Assistant | 711 W Aspen Ave, Flagstaff, AZ 86001-5301 | 2016-05-04 |
| 1972990851 | Joel Packard | Physician Assistant | 50 Pine Del Dr, Flagstaff, AZ 86005-9603 | 2015-04-18 |
| 1750349338 | Jennifer Michelle Morris | Physician Assistant | 31 E Conquistador Trl, Flagstaff, AZ 86001-8317 | 2006-05-03 |
| 1558849596 | Neurofit Health Pllc | Physician Assistant | 1200 N. Beaver, Flagstaff, AZ 86001-3118 | 2018-08-01 |
| 1558614834 | Gregory A. Cox, Pa-c, Pllc | Physician Assistant | 709 W Birch Ave, Flagstaff, AZ 86001-4417 | 2012-10-24 |
| 1881651362 | Robert M Evans | Physician Assistant | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030647 | Blaine Wesley Price | Physician Assistant | 796 W Jardin Dr, Casa Grande, AZ 85122-6162 | 2019-09-03 |
| 1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
| 1972166858 | Red Heart Surgical Assisting | Physician Assistant | 43643 W Arizona Ave, Maricopa, AZ 85138-5642 | 2019-04-17 |
| 1053898833 | Sportsmedicine Outreach Specialist | Physician Assistant | 13247 N 80th Pl, Scottsdale, AZ 85260-4903 | 2018-07-24 |
| 1912496712 | Hw Surgical Assist, Pllc | Physician Assistant | 4057 E Laurel Ave, Gilbert, AZ 85234 | 2018-05-07 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| 1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
| 1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
| 1720597214 | Merieme Khamsi | Physician Assistant | 14674 W Mountain View Blvrd #210, Surprise, AZ 85374 | 2017-09-27 |
| 1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
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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.