Individual provider Active NPI

Alexis Marie Anderson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Conneautville, PA
National Provider Identifier
1033896600
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC007345 Issued in PA
Practice address
906 Washington St
Conneautville, PA 16406-7138
Phone
(814) 587-2246
Fax
(814) 587-4144
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC007345 PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC007345 PA Primary

Addresses

Primary practice location

906 Washington St
Conneautville, PA 16406-7138

Mailing address

406 W Oak St
Titusville, PA 16354-1499
Phone (814) 827-1851

Other practice location 1

640 Alden St
Meadville, PA 16335-2348
Phone (814) 373-5255

Other practice location 2

401 Main St
Saegertown, PA 16433-7644
Phone (814) 763-1106

Other practice location 3

10926 State Highway 18
Conneaut Lake, PA 16316-3526
Phone (814) 382-0446

Other practice location 4

118 Railroad St
Cambridge Springs, PA 16403-1060
Phone (814) 398-1480

Other practice location 5

765 Liberty St Ste 101
Meadville, PA 16335-2566
Phone (814) 373-3434

Other practice location 6

406 W Oak St
Titusville, PA 16354-1499
Phone (814) 827-9770

Other practice location 7

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5081

Other practice location 8

406 W Oak St
Titusville, PA 16354-1499
Phone (814) 827-1851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC007345PAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1033896600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W OAK ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541499",
            "telephone_number": "814-827-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WASHINGTON ST",
            "city": "CONNEAUTVILLE",
            "state": "PA",
            "postal_code": "164067138",
            "telephone_number": "814-587-2246",
            "fax_number": "814-587-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Alden St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352348",
            "country_code": "US",
            "telephone_number": "814-373-5255",
            "fax_number": "814-373-5259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Main St",
            "address_purpose": "LOCATION",
            "city": "Saegertown",
            "state": "PA",
            "postal_code": "164337644",
            "country_code": "US",
            "telephone_number": "814-763-1106",
            "fax_number": "814-763-1129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10926 State Highway 18",
            "address_purpose": "LOCATION",
            "city": "Conneaut Lake",
            "state": "PA",
            "postal_code": "163163526",
            "country_code": "US",
            "telephone_number": "814-382-0446",
            "fax_number": "814-382-7386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Cambridge Springs",
            "state": "PA",
            "postal_code": "164031060",
            "country_code": "US",
            "telephone_number": "814-398-1480",
            "fax_number": "814-398-4340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "765 Liberty St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352566",
            "country_code": "US",
            "telephone_number": "814-373-3434",
            "fax_number": "814-373-2152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541499",
            "country_code": "US",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-3556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352559",
            "country_code": "US",
            "telephone_number": "814-333-5081",
            "fax_number": "814-333-5083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541499",
            "country_code": "US",
            "telephone_number": "814-827-1851",
            "fax_number": "814-827-8507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007345",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conneautville, PA

Sources for this page

Verify at the official NPI Registry.