ERIC JOSEPH ANDERSON (NPI# 1972063675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972063675 |
Entity Type | Individual |
Full Name | ERIC JOSEPH ANDERSON |
Practice Address |
3310 W Idaho Ave Chickasha OK 73018-6005 |
Practice Telephone | 4054125739 |
Mailing Telephone | 4054125739 |
Enumeration Date | 2019-03-20 |
Last Update Date | 2019-03-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1801220454 | Eric Arthur Anderson | Physician Assistant | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2013-08-29 |
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 |
3310 W IDAHO AVE |
City | CHICKASHA |
State | OK |
Zip Code | 73018-6005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
1821535915 | Around The Clock Home Care | In Home Supportive Care | 313 W Chickasha Ave, Chickasha, OK 73018 | 2017-01-26 |
1639535537 | Teagan Rae Dorsey | Registered Nurse | 304 S 29th Street, Chickasha, OK 73018 | 2016-01-07 |
1578949327 | Megan Griffin | Dentist | 720 West Grand Ave, Chickasha, OK 73018 | 2015-08-04 |
1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
1407286735 | Martha Allison Shadoan | Social Worker | 804 W. Choctaw, Chickasha, OK 73018 | 2013-11-22 |
1225313521 | Shanna Michelle Rice | Counselor | 198 East Almar Drive, Chickasha, OK 73018 | 2011-10-18 |
1306016175 | Logsdon Chiropractic, Pllc | Clinic/Center | 1807 S. 9th, Chickasha, OK 73018 | 2008-03-07 |
1518148337 | Christopher Lee Ludwell | Chiropractor | 419 Fieldcrest, Chickasha, OK 73018 | 2007-11-20 |
1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
Find all providers in zip 73018 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316562259 | Valarie Sankey | Peer Specialist | 198 E Almar Dr, Chickasha, OK 73018-7327 | 2020-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
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.