Beth Andersen, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

010302 Issued in NY

Practice address

67 Sand Pit Rd
Suite 308
Danbury, CT 06810-4032

Phone

(203) 743-7246

Fax

(203) 792-3920

NPI assigned

Jul 26, 2006

Last updated

Dec 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: beth.andersen@xdr.hhchealthdirect.org

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.

• Jonathan a Kost, MD LLC

  dba Hartford Hospital Pain Treatment Center

  • Interventional Pain Medicine Physician
  • West Hartford, CT
  • NPI 1336174721
  Medicare reassignment
• Pain & Spine Specialists of Connecticut, LLC

  • Specialist
  • New Milford, CT
  • NPI 1174826598
  NPD (past)
• Somers Orthopaedic Surgery & Sports Medicine Group PLLC

  • Orthopaedic Surgery Physician
  • Danbury, CT
  • NPI 1427533959
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1003839291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "address_2": "SUITE 308",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-743-7246",
            "fax_number": "203-792-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "address_2": "SUITE 308",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-743-7246",
            "fax_number": "203-792-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "BETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00298878",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudette Ames, MS, LADC, LPC
• Donald Gustave Ammerman, M.D.
• Chinenye Gloria Anaedobe, M.D
• Sohini Anand
• Andar Integrated Mental Wellness PLLC
• Cheryl Anderson, A.P.R.N.
• James P Anderson, M.D.
• Stephanie Sharyn Anderson, PTA
• William Bernhard Anderson III, PT
• Augustine Andoh-Duku, M.D

• Medical Physician Assistant in Danbury, CT
• Providers in Danbury, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.