Philip R. Anderson, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

6018 Issued in NH

Practice address

518 Landmark Hill Rte 1
A7
Kittery, ME 03904-2500

Phone

(207) 439-0019

Fax

(207) 439-0015

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398

  Surgery

  NPD
• Seacoast Pathology Inc

  • Clinical Medical Laboratory
  • Exeter, NH
  • NPI 1154651230
  NPD
• HCA Health Services of New Hampshire, Inc.

  • Cardiovascular Disease Physician
  • Derry, NH
  • NPI 1538516851
  NPD (past)
• Seacoast Foot Surgery Assoc

  • Podiatrist
  • Portsmouth, NH
  • NPI 1174600217
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1033211792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 LANDMARK HILL RTE 1",
            "address_2": "A7",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039042500",
            "telephone_number": "207-439-0019",
            "fax_number": "207-439-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 LANDMARK HILL RTE 1",
            "address_2": "A7",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039042500",
            "telephone_number": "207-439-0019",
            "fax_number": "207-439-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PHILIP",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "6018",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NH",
            "license": "6018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81026883",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "0106883Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Abernethy, LCSW
• Philip Abraham, M.D.
• Renee Marie Al-Darraji, NP
• Isabel Alonso Zieja, O.D.
• Erik Alex Anderson
• Appledore Medical Group, Inc.
• Emily P Appleton, PA-C, ATC
• Frederick Charles Armbruster, MD
• Renee L. Armstrong-Hay, LCSW
• Aspire365 Maine

• All providers in Kittery, ME
• Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.