Trent David Anderson (NPI# 1366751927, PAC ID# 8628223484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366751927 |
| PAC ID by PECOS | 8628223484 |
| Professional Enrollment ID | I20130227000376 |
| Full Name | Trent David Anderson |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-LAKE CITY |
| Address |
500 W Grant St Lake City MN 55041-1143 |
| Phone Number | 6513453321 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1951213487 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241338 | MAYO CLINIC HEALTH SYSTEM - LAKE CITY |
| 241335 | ST ELIZABETH MEDICAL CENTER |
| 240043 | MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN |
| 240010 | MAYO CLINIC HOSPITAL ROCHESTER |
| 240018 | MAYO CLINIC HEALTH SYSTEM IN RED WING |
| Address | Phone | Organization |
|---|---|---|
| 500 W Grant St, Lake City, MN 55041-1143 | 6513453321 | MAYO CLINIC HEALTH SYSTEM-LAKE CITY |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM-LAKE CITY |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah A Winters | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Chad Hanson | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Darlene R Bannon | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jill C Jensen | Physician Assistant | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| James Michael Bisanti | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Randy M Foss | Family Medicine | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jacob R Ricks | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Katherine L Lofberg | Nurse Practitioner | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jason W Steinle | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Lawrence R Keenan | Cardiovascular Disease (cardiology) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Street Address |
500 W GRANT ST |
| City | LAKE CITY |
| State | MN |
| Zip | 55041-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah A Winters | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Chad Hanson | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Darlene R Bannon | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jill C Jensen | Physician Assistant | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| James Michael Bisanti | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Randy M Foss | Family Medicine | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jacob R Ricks | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Katherine L Lofberg | Nurse Practitioner | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jason W Steinle | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Lawrence R Keenan | Cardiovascular Disease (cardiology) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessin L Skoug | Chiropractic | Eagle Valley Chiropractic, LLC | 106 S Washington St, Lake City, MN 55041-1034 |
| Elizabeth A Olson | Chiropractic | Eagle Valley Chiropractic, LLC | 106 S Washington St, Lake City, MN 55041-1034 |
| Lyndsay D Viers | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Don B Stott | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Adam Sharp Cole | Diagnostic Radiology | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Joerg Herrmann | Cardiovascular Disease (cardiology) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Jeremy J Thaden | Cardiovascular Disease (cardiology) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Anne E Liwonjo | Family Medicine | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Amy L Mcalister | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 500 W Grant St, Lake City, MN 55041-1143 |
| Darrell B Newman | Cardiovascular Disease (cardiology) | Mayo Clinic Health System-lake City | 500 W Grant St, Lake City, MN 55041-1143 |
| Find all physicians in zip 55041 | |||
| City | LAKE CITY |
| Zip Code | 55041 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKE CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Trent David 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.