JACK RAYMOND ANDERSON (NPI# 1881166775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881166775 |
| Entity Type | Individual |
| Full Name | JACK RAYMOND ANDERSON |
| Practice Address |
1730 W 25th St Cleveland OH 44113-3108 |
| Practice Telephone | 2169037287 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 50.005645RX | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254603 | Jack Anderson | Technician | 14810 La Mesa Rd, Victorville, CA 92392-8639 | 2019-09-14 |
| 1154523470 | Jack Anderson | Chiropractor | 226 E 29th St Unit B, Loveland, CO 80538-2825 | 2007-05-31 |
| 1659338887 | Jack Anderson | Emergency Medicine | 9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088 | 2006-05-01 |
| 1245527969 | Jack D Anderson | Family Medicine | 1515 Edmonton Rd, Tompkinsville, KY 42167-9402 | 2011-07-01 |
| 1134330947 | Jack Glenn Anderson | Psychologist | 200 E Del Mar Blvd, Suite 122, Pasadena, CA 91105-2544 | 2007-05-24 |
| 1609948223 | Jack Martin Anderson | Pediatrics | 3003 Health Center Dr, San Diego, CA 92123-2700 | 2006-11-15 |
| 1417976234 | Jack D Anderson | Pediatrics | 7030 Pineville Matthews Rd, Charlotte, NC 28226-8298 | 2006-07-19 |
| 1992737522 | Jack Anderson | Internal Medicine | 2500 E Capitol Dr, Appleton, WI 54911-8735 | 2006-07-06 |
| 1811964000 | Jack W. Anderson | Anesthesiology | 470 Taylor Rd, Montgomery, AL 36117-3563 | 2006-03-07 |
| Street Address |
1730 W 25TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092602 | Mark H Frankel | Psychiatry & Neurology | 1730 W 25th St, Ste 2a, Cleveland, OH 44113-3108 | 2005-06-09 |
| 1134746696 | Anna Caraboolad | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-07-01 |
| 1497372189 | Alexandria Mancuso | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-06-29 |
| 1073132007 | Paulina Michalik | Registered Nurse | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-04-09 |
| 1023641099 | Miguel Angel Melendez | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2020-02-19 |
| 1942847017 | Renessa Banks | Social Worker | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-12-06 |
| 1487298527 | Anica Bulat | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-11-01 |
| 1811457203 | Alyson Bobulsky | Nurse Practitioner | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-03-21 |
| 1831663715 | Lori Ann Kauchuk | Social Worker | 1730 W 25th St, Cleveland, OH 44113-3108 | 2019-01-14 |
| 1578035143 | Thomas Corcoran Connelly | Counselor | 1730 W 25th St, Cleveland, OH 44113-3108 | 2018-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1326455213 | Mohammed Osman | Surgery | Cleveland Clinic Main Campus 9500 Euclid Ave Oh, Cleveland, OH 44195-1005 | 2014-07-13 |
| 1497194336 | Shannon Beierle | Surgery | 2175 Chambliss Ave Nw Ste D, Cleveland, TN 37311-3842 | 2013-06-24 |
| 1669714895 | Betty Fan | Surgery | 9500 Euclid Ave # A80, Cleveland, OH 44195 | 2013-03-26 |
| 1679818819 | Mohammad Hhh Jamal | Surgery | 1300 W 9th St, Appartment 232, Cleveland, OH 44113-1031 | 2012-11-28 |
| 1316200678 | Courtney E Barrows | Surgery | Cleveland Clinic 9500 Euclid Avenue/na-23, Cleveland, OH 44195-5501 | 2012-06-21 |
| 1396001962 | Tiffany Joy Sinclair | Surgery | 9500 Euclid Ave # F2-105, Cleveland, OH 44195-2200 | 2012-04-07 |
| 1720366222 | Prameela Konda | Surgery | 9500 Euclid Ave, General Surgery, A100 Cleveland Clinic, Cleveland, OH 44195 | 2011-08-01 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on JACK RAYMOND 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.