Frederick W Anderson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME88715 Issued in FL

Practice address

800 SW 108TH Ave
100
Miami, FL 33174-2555

Phone

(305) 348-0254

Fax

(305) 348-4261

NPI assigned

Jun 8, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: frederick.anderson.1@27920.direct.athenahealth.com
• Direct secure messaging: frederick.anderson.2@14931.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27920/brand/2/csg/1/fhir/r4

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.

• Florida International University

  dba University Health Services

  • Student Health Clinic/Center
  • Miami, FL
  • NPI 1346460193
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053351759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW 108TH AVE",
            "address_2": "100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742555",
            "telephone_number": "305-348-0254",
            "fax_number": "305-348-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW 108TH AVE",
            "address_2": "100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742555",
            "telephone_number": "305-348-0254",
            "fax_number": "305-348-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "FREDERICK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME88715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270541900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bunique Anderson
• Claire Louise Anderson, M.D
• Douglas R Anderson, MD
• Elliot Eddie Anderson III, MSW
• Evelyn Anderson
• Ian Xavier Anderson, CRNA
• Kelitha Anderson, RDN
• Kendra Susan Anderson, MSW
• Levi Jacob Anderson
• Maria I Anderson

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.