Paul J Anderson (NPI# 1386625747, PAC ID# 5799775268) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1386625747 |
| PAC ID by PECOS | 5799775268 |
| Professional Enrollment ID | I20040517000300 |
| Full Name | Paul J Anderson |
| Organization Legal Name | HIGH PLAINS RADIATION ONCOLOGY, LLC |
| Address |
2219 Dillon Rd Clovis NM 88101-9454 |
| Phone Number | 5757697365 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 1557553393 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 453306 | COVENANT CHILDRENS HOSPITAL |
| 320022 | PLAINS REGIONAL MEDICAL CENTER |
| 450040 | COVENANT MEDICAL CENTER |
| 320084 | ROOSEVELT GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2219 Dillon Rd, Clovis, NM 88101-9454 | 5757697365 | HIGH PLAINS RADIATION ONCOLOGY, LLC |
| 5916 N Lovington Hwy, Hobbs, NM 88240-9152 | 5759422550 | HIGH PLAINS RADIATION INVESTMENTS, LLC |
| 4101 22nd Pl, Lubbock, TX 79410-1121 | 8067258008 | HIGH PLAINS RADIATION ONCOLOGY, LLC |
| Organization Legal Name | HIGH PLAINS RADIATION ONCOLOGY, LLC |
| Physicians | 1 |
| Street Address |
2219 DILLON RD |
| City | CLOVIS |
| State | NM |
| Zip | 88101-9454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa Yardley | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New Mexico P C | Plains Regional Medical Ctr, 2100 N. Martin Luther King Jr. Blvd, Clovis, NM 88101 |
| Jared Dumas | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New Mexico P C | Plains Regional Medical Ctr, 2100 N. Martin Luther King Jr. Blvd, Clovis, NM 88101 |
| Ryan Steed | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New Mexico P C | Plains Regional Medical Ctr, 2100 N. Martin Luther King Jr. Blvd, Clovis, NM 88101 |
| Ndeye Ndour | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New Mexico P C | Plains Regional Medical Ctr, 2100 N. Martin Luther King Jr. Blvd, Clovis, NM 88101 |
| Jacob T Russell | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates of New Mexico P C | Plains Regional Medical Ctr, 2100 N. Martin Luther King Jr. Blvd, Clovis, NM 88101 |
| Aba Saaba Hagan | Nurse Practitioner | Presbyterian Healthcare Services | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 |
| Donna M Thibodeau | Internal Medicine | Presbyterian Healthcare Services | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 |
| Kalyan Chakravarthy Saginala | Internal Medicine | Presbyterian Healthcare Services | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 |
| Lorena A Kroeger | Nurse Practitioner | Presbyterian Healthcare Services | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 |
| Brian E Willmon | Internal Medicine | Presbyterian Healthcare Services | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 |
| Find all physicians in zip 88101 | |||
| City | CLOVIS |
| Zip Code | 88101 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | CLOVIS + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Paul J 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.