Koby G Anderson (NPI# 1356739486, PAC ID# 3971828518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1356739486 |
| PAC ID by PECOS | 3971828518 |
| Professional Enrollment ID | I20170211000219 |
| Full Name | Koby G Anderson |
| Organization Legal Name | SPINE SURGERY INC |
| Address |
14100 Pkwy Commons Dr Suite 200 Oklahoma City OK 73134-6104 |
| Phone Number | 4052424345 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5092732487 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370206 | OKLAHOMA SPINE HOSPITAL |
| 370013 | MERCY HOSPITAL OKLAHOMA CITY, INC |
| Address | Phone | Organization |
|---|---|---|
| 14100 Pkwy Commons Dr, Suite 200, Oklahoma City, OK 73134-6104 | 4052424345 | SPINE SURGERY INC |
| Organization Legal Name | SPINE SURGERY INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi Dickey | Nurse Practitioner | Spine Surgery Inc | 14100 Pkwy Commons Dr, Suite 200, Oklahoma City, OK 73134-6104 |
| James Odor | Orthopedic Surgery | Spine Surgery Inc | 14100 Pkwy Commons Dr, Suite 200, Oklahoma City, OK 73134-6104 |
| Street Address |
14100 PKWY COMMONS DR SUITE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73134-6104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi Dickey | Nurse Practitioner | Spine Surgery Inc | 14100 Pkwy Commons Dr, Suite 200, Oklahoma City, OK 73134-6104 |
| Danny R Norris | Chiropractic | 14100 Pkwy Commons Dr, Suite 201, Oklahoma City, OK 73134-6104 | |
| Gaylan Yates | Pain Management | 14100 Pkwy Commons Dr, Suite 104, Oklahoma City, OK 73134-6036 | |
| Brent N Hisey | Neurosurgery | Neuroscience Specialists PC | 14100 Pkwy Commons Dr, Suite 201, Oklahoma City, OK 73134-6036 |
| Donald D Horton | Neurosurgery | Neuroscience Specialists PC | 14100 Pkwy Commons Dr, Suite 201, Oklahoma City, OK 73134-6036 |
| Andrew B Parkinson | Orthopedic Surgery | Orthopedic Spine Associates | 14100 Pkwy Commons Dr, Suite 101, Oklahoma City, OK 73134-6036 |
| Dan Thach Dam Nguyen | Interventional Radiology | Jack E Marshall Md LLC | 14100 Pkwy Commons Dr, Oklahoma City, OK 73134-6036 |
| James Odor | Orthopedic Surgery | Spine Surgery Inc | 14100 Pkwy Commons Dr, Suite 200, Oklahoma City, OK 73134-6104 |
| Kristen A Downs | Nurse Practitioner | Orthopedic Spine Associates | 14100 Pkwy Commons Dr, Suite 101, Oklahoma City, OK 73134-6036 |
| Kelly M Cooper | Physician Assistant | Jack E Marshall Md LLC | 14100 Pkwy Commons Dr, Oklahoma City, OK 73134-6036 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah K Hartley | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 14901 N Penn Ave, Oklahoma City, OK 73134 |
| Jacque L Rowe | Chiropractic | 13838 Quail Pointe Dr, Suite A, Oklahoma City, OK 73134-1003 | |
| Robert A Hein | Plastic and Reconstructive Surgery | Robert A Hein Md PC | 14024 Quail Pointe Dr, Oklahoma City, OK 73134-1006 |
| Kamal Anthony Shanbour | Obstetrics/gynecology | 13921 N Meridian, Suite 200, Oklahoma City, OK 73134-1104 | |
| Esmeralda Lopez | Physical Therapy | Oklahoma Physical Therapy Spine Care Rehab LLC | 3705 W Memorial Rd, Suite 101b, Oklahoma City, OK 73134-1508 |
| James B Stewart Jr. | Dermatology | 3705 W Memorial Rd, Suite 101, Oklahoma City, OK 73134-1508 | |
| Taylor J Isbell | Physical Therapy | Oklahoma Physical Therapy Spine Care Rehab LLC | 3705 W Memorial Rd, Suite 101b, Oklahoma City, OK 73134-1508 |
| Mackenzie L Barnes | Physical Therapy | Oklahoma Physical Therapy Spine Care Rehab LLC | 3705 W Memorial Rd, Suite 101b, Oklahoma City, OK 73134-1508 |
| Jason Manning | Physical Therapy | Oklahoma Physical Therapy Spine Care Rehab LLC | 3705 W Memorial Rd, Suite 101b, Oklahoma City, OK 73134-1508 |
| Samuel C Oliphant Jr. | Optometry | 14000 Quailbrook Dr, Oklahoma City, OK 73134-1701 | |
| Find all physicians in zip 73134 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73134 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OKLAHOMA CITY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Koby G Anderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.