Eric Anderson MDPC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

051577 Issued in GA

Legal business name

ERIC ANDERSON MDPC

Practice address

209 Pendleton Dr
Valdosta, GA 31602-1729

Phone

(229) 259-4600

Fax

(229) 259-4601

NPI assigned

Nov 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Barry Thomas Wakefield

Title

Practice Manager

Phone

(229) 247-5275

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Buckley Anderson, MD

  • Hematology & Oncology Physician
  • Douglas, GA
  • NPI 1891741757

  Hematology & Oncology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1003096009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2250",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316042250",
            "telephone_number": "229-247-5275",
            "fax_number": "229-247-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PENDLETON DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021729",
            "telephone_number": "229-259-4600",
            "fax_number": "229-259-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC ANDERSON MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "229-247-5275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "051577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Valdosta, GA
• Hematology & Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.