C James Anderson DPM LLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Columbia, IL
NPI 1033738547 · NPPES record last updated Apr 14, 2020
Key facts
- NPI
- 1033738547
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Legal business name
- C JAMES ANDERSON DPM LLC
- Practice address
- 1000 Eleven S Ste 3a
Columbia, IL 62236-1077 - Phone
- (618) 277-9533
- NPI assigned
- Apr 14, 2020
- Organization subpart
- No
Authorized official
- Name
- Melissa Bauer
- Title
- Billing Dept
- Phone
- (618) 277-7087
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Practitioners 3
-
Natalie Mota, DPM
-
John Edward Lindsay, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200427001039 | IL | DME Supplier - Physician - Podiatry | 2961652979 | Practice locations: Columbia, IL |
National Provider Directory
- Tax ID family
- C James Anderson DPM LLC
Locations
1000 Eleven S
Ste 3A
Columbia, IL 62236
Phone (618) 277-9533
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | Yes |
Addresses
Primary practice location
1000 Eleven S Ste 3a
Columbia, IL 62236-1077
Mailing address
PO Box 3681
Springfield, IL 62708-3681
Phone (618) 277-9533
Other providers in Columbia, IL
- Claire Breidenbach
- Bria of Columbia LP
- Amy Michelle Brown
- Michael J Budde
- Torey Byrd
- Ca Group, LLC
- Eric Callison
- Joseph Edward Cangas
- Alisa Cates
- Chiropro of Columbia, LLC
All providers in Columbia, IL · Foot & Ankle Surgery Podiatrist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.