Scott Anderson
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Arcadia, WI
NPI 1043767296 · NPPES record last updated Sep 6, 2016
Key facts
- NPI
- 1043767296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 2343-19 (WI)
- Practice address
- 464 S Saint Joseph Ave Ste 100
Arcadia, WI 54612-1401 - Phone
- (608) 323-9998
- Fax
- (608) 323-2150
- NPI assigned
- Sep 6, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2343-19 | WI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Solutions, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2343-19 | WI | Yes |
Addresses
Primary practice location
464 S Saint Joseph Ave Ste 100
Arcadia, WI 54612-1401
Mailing address
464 S Saint Joseph Ave Ste 100
Arcadia, WI 54612-1401
Phone (608) 323-9998
Other providers in Arcadia, WI
- Arcadia Ambulance Service
- Arcadia Ambulance Services Board
- Arcadia Chiropractic & Wellness Inc.
- Arcadia Dental Center
- Arcadia Nursing Home
All providers in Arcadia, WI · Physical Medicine & Rehabilitation Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.