MR. EDWARD MICHAEL ANDERSON (NPI# 1972546075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972546075 |
| Entity Type | Individual |
| Full Name | MR. EDWARD MICHAEL ANDERSON |
| Credential | PHD |
| Practice Address |
1 Lincoln Parkway Suite 202 Hattiesburg MS 39402 |
| Practice Telephone | 6012888050 |
| Mailing Telephone | 6012888050 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
36643 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00122156 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775309 | Edward Earl Anderson Jr. | Community Health Worker | 64 Poydras St, Hyde Park, MA 02136-6419 | 2020-09-17 |
| 1699886457 | Edward Andrew Anderson | Dentist | 302 2nd Ave Sw, Jamestown, ND 58401-4157 | 2006-08-31 |
| 1366445462 | Edward Anderson | Podiatrist | 411 Letcher St, Henderson, KY 42420-4245 | 2005-05-23 |
| 1447864673 | Edward Anderson | Licensed Practical Nurse | 2470 Mall Dr, N.charleston, SC 29406 | 2020-09-04 |
| 1043596026 | Edward Anderson | Pharmacist | 22303 Mountain Hwy E, Spanaway, WA 98387-7529 | 2011-10-22 |
| 1942592498 | Edward Jermaine Anderson | Physical Therapist | 33600 W 85th St, De Soto, KS 66018-8118 | 2011-05-03 |
| 1053561365 | Edward J Anderson | Case Manager/Care Coordinator | 32 Conrad Dr, Jackson, TN 38305-2801 | 2008-09-23 |
| 1750561577 | Edward Anderson | Counselor | 5755 North Point Parkway, Suite 90, Alpharetta, GA 30022 | 2007-11-08 |
| 1740493568 | Edward Charles Anderson | Chiropractor | 19 Franklin St, Cambridge, MD 21613-1916 | 2007-05-08 |
| 1508998931 | Edward D Anderson | Physical Therapist | 6703 W Rio Grande Ave, Kennewick, WA 99336-2623 | 2007-03-12 |
| Street Address |
1 LINCOLN PARKWAY SUITE 202 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699718635 | Scott Garlon Willoughby | Psychologist | 1 Lincoln Parkway, Suite 202, Hattiesburg, MS 39402 | 2006-06-14 |
| 1033441357 | Fuse Tec Medical | Durable Medical Equipment & Medical Supplies | 1 Lincoln Parkway, Suite 100, Hattiesburg, MS 39402 | 2010-02-11 |
| 1508922865 | Institute for Spinal Pain Treatment | Clinic/Center | 1 Lincoln Parkway, Suite 106, Hattiesburg, MS 39402 | 2006-12-29 |
| 1780777276 | Thomas Y. Biesinger | Physical Therapist | 1 Lincoln Parkway, Hattiesburg, MS 39402 | 2006-10-02 |
| 1528002318 | Thomas Louis Welch | Psychiatry & Neurology | 1 Lincoln Parkway, Suite 202, Hattiesburg, MS 39402 | 2006-06-15 |
| 1346284130 | Patricia Calabrese | Nurse Practitioner | 1 Lincoln Parkway, Suite 202, Hattiesburg, MS 39402 | 2006-06-15 |
| 1275576233 | Joe Allen Harris | Psychiatry & Neurology | 1 Lincoln Parkway, Suite 202, Hattiesburg, MS 39402 | 2006-06-14 |
| 1952344913 | James Allen Marlowe | Psychiatry & Neurology | 1 Lincoln Parkway, Suite 202, Hattiesburg, MS 39402 | 2006-06-14 |
| 1629011614 | Janie Jones Kamp | Social Worker | 1 Lincoln Parkway, Suite 202, Hattiesburg, MS 39402 | 2006-06-14 |
| 1629011556 | Craig Hackett Paterson | Psychologist | 1 Lincoln Parkway, Suite 202, Hattiesburg, MS 39402 | 2006-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568745545 | Paul B Frederiksen | Psychologist | 103 South 19th Ave, Hattiesburg, MS 39402 | 2011-09-26 |
| 1447452347 | Tiffany Paige Bradley | Psychologist | 2255 Broadway Dr, Hattiesburg, MS 39402-3254 | 2007-06-03 |
| 1972616076 | Geralyn Datz | Psychologist | 1 Commerce Dr, Ste 205, Hattiesburg, MS 39402-1499 | 2006-08-16 |
| 1699718635 | Scott Garlon Willoughby | Psychologist | 1 Lincoln Parkway, Suite 202, Hattiesburg, MS 39402 | 2006-06-14 |
| 1679125140 | Andrew M Hamilton | Psychologist | 102 Medical Park Ste B, Hattiesburg, MS 39401-9080 | 2019-07-15 |
| 1205363447 | Jessica Shanna James | Psychologist | 32 Millbranch Rd Ste 40, Hattiesburg, MS 39402-1673 | 2017-05-18 |
| 1437560976 | Robert F Hester Phd, LLC | Psychologist | 7 Woodstone Plz, Ste 5, Hattiesburg, MS 39402-7508 | 2014-05-19 |
| 1356774772 | Christina I Williams | Psychologist | 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402-3262 | 2013-08-21 |
| 1588908545 | Carrie Ellen Morgan | Psychologist | 102 Medical Park, Hattiesburg, MS 39401 | 2012-11-15 |
| 1982981247 | Scott Willoughby, Phd, LLC | Psychologist | 1 Commerce Dr, Suite 205, Hattiesburg, MS 39402-1499 | 2011-11-14 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on MR. EDWARD MICHAEL 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.