Active NPI
Daniel Alexander Anderson, MD
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, SC
National Provider Identifier
1003202565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 898997
- Practice address
- 8 Memorial Medical CT
Greenville, SC 29605-4449 - Phone
- (764) 295-3492
- Fax
- (864) 295-4817
- NPI assigned
- Apr 11, 2015
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 29425 | WV | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 898997 | SC | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | D86090 | MD |
Addresses
Primary practice location
8 Memorial Medical CT
Greenville, SC 29605-4449
Mailing address
8 Memorial Medical CT
Greenville, SC 29605-4449
Phone (864) 295-3492
Other practice location 1
600 N Wolfe St
Baltimore, MD 21287
Phone (410) 955-5000
Other practice location 2
1959 NE Pacific St
Box 356100
Seattle, WA 98195-6100
Phone (206) 334-9918
Other practice location 3
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D86090 | Other | MD | LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | danderson187012@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | danderson187012@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200608000666 | WV | Practitioner - Pathology | 7517288467 | Reassigns benefits to 1 organization |
| I20230803003247 | SC | Practitioner - Pathology | 7517288467 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D86090 | MD | MD | Anatomic Pathology & Clinical Pathology Physician |
| 898997 | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
| 29425 | WV | MD | Anatomic Pathology & Clinical Pathology Physician |
| 89899 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospital Center, Inc. | Current | Accepting new patients | |
| Pathology Associates of Greenville PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Consultants, Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| West Virginia Health Care Cooperative Inc | Past | Accepting new patients |
Locations
8 Memorial Medical Ct
Ste 1
Greenville, SC 29605
Phone (864) 295-3492
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
8 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 269-9899
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000
400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, SC
- NPI 1831151976
Anatomic Pathology & Clinical Pathology, SC
-
- Clinical Medical Laboratory
- Greenville, SC
- NPI 1447212568
Anatomic Pathology & Clinical Pathology
-
- Critical Access Hospital
- Summersville, WV
- NPI 1043778319
Hospital & facility affiliations 55
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Creighton University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pathology Associates of Greenville
Practice addresses (Care Compare)
701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 295-3492
Hospital & facility affiliations
- Prisma Health Greenville Memorial Hospital
- Prisma Health Richland Hospital
- Self Regional Healthcare
- Prisma Health Baptist
- Prisma Health Oconee Memorial Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1003202565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MEMORIAL MEDICAL CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054449",
"telephone_number": "864-295-3492",
"fax_number": "864-295-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 MEMORIAL MEDICAL CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054449",
"telephone_number": "764-295-3492",
"fax_number": "864-295-4817"
}
],
"practiceLocations": [
{
"address_1": "600 N Wolfe St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "21287",
"country_code": "US",
"telephone_number": "410-955-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1959 NE Pacific St",
"address_2": "Box 356100",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981956100",
"country_code": "US",
"telephone_number": "206-334-9918",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "327 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "WV",
"postal_code": "263309006",
"country_code": "US",
"telephone_number": "681-342-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "DANIEL",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-11",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WV",
"license": "29425",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "SC",
"license": "898997",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MD",
"license": "D86090",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "D86090",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "danderson187012@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "327 Medical Park Dr",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263309006",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "danderson187012@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "327 Medical Park Dr",
"city": "Bridgeport",
"state": "WV",
"country_code": "US",
"postal_code": "263309006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.