Active NPI
Alan Anderson, D.O.
- Psychiatry Physician
- Saint Joseph, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2020028558
- Practice address
- 5325 Faraon St
Saint Joseph, MO 64506-3488 - Phone
- (816) 271-7273
- Fax
- (816) 271-7376
- NPI assigned
- Mar 28, 2013
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 007306 | AZ | |
| Psychiatry Physician | 2084P0800X | 036139810 | IL | |
| Psychiatry Physician | 2084P0800X | 2020028558 | MO | Primary |
Addresses
Primary practice location
5325 Faraon St
Saint Joseph, MO 64506-3488
Mailing address
211 NE 54TH St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777
Other practice location 1
7575 E Earll Dr
Scottsdale, AZ 85251-6915
Phone (480) 941-7500
Other practice location 2
211 NE 54th St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777
Other practice location 3
2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-7918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Chicago College of Osteopathy, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 NE 54TH St
Suite 201
Kansas City, MO 64118-4330
Phone (816) 453-6777
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007306 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Regional Medical Center | Family Medicine | Current | Accepting new patients |
| Meritas Health | Psychiatry | Current | Accepting new patients |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Family Medicine | Current | Accepting new patients |
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Heartland Regional Medical Center | Past | Accepting new patients |
Locations
211 NE 54th St
Ste 2
Kansas City, MO 64118
Phone (816) 453-6777
211 NE 54th St
Ste 201
Kansas City, MO 64118
Phone (816) 453-6777
2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525
2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681
5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070
5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500
901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Networks
- IL PPO Downstate
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- IA HMO C-SNP
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IA HMO
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mosaic Life Care
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
Family Medicine
-
- Specialist
- Maryville, MO
- NPI 1184189797
-
dba Mosaic Life Care at St. Joseph Acute Rehab
- Rehabilitation Hospital Unit
- Saint Joseph, MO
- NPI 1841385093
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
-
dba Mosaic Life Care at St Joseph Medical Center
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mosaic Life Care at St Joseph Medical Center
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
dba Skilled Nursing Unit
- Skilled Nursing Facility
- North Kansas City, MO
- NPI 1437103215
Hospital
-
dba NKC Health
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003159005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 NE 54TH ST STE 201",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641184330",
"telephone_number": "816-453-6777",
"fax_number": "816-454-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 FARAON ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063488",
"telephone_number": "816-271-7273",
"fax_number": "816-271-7376"
}
],
"practiceLocations": [
{
"address_1": "7575 E Earll Dr",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852516915",
"country_code": "US",
"telephone_number": "480-941-7500",
"fax_number": "480-941-7567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 NE 54th St Ste 201",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641184330",
"country_code": "US",
"telephone_number": "816-453-6777",
"fax_number": "816-454-3601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2016 S Main St",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "MO",
"postal_code": "644682655",
"country_code": "US",
"telephone_number": "660-562-7918",
"fax_number": "660-562-7946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-28",
"last_updated": "2022-07-21",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "007306",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036139810",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2020028558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.