Organization Active NPI

Richard P Anderson, MD, PC

  • Surgery Physician
  • Springfield, MA
National Provider Identifier
1063607455
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
79633 Issued in MA
Legal business name
RICHARD P ANDERSON, MD, PC
Practice address
299 Carew St Ste 323
Springfield, MA 01104
Phone
(413) 732-9600
Fax
(413) 732-9621
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Richard Anderson, M.D.
Title
Owner
Phone
(413) 732-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 79633 MA Primary

Addresses

Primary practice location

299 Carew St Ste 323
Springfield, MA 01104

Mailing address

299 Carew St Ste 323
Springfield, MA 01104-2431
Phone (413) 732-9600

Other identifiers 1

IdentifierTypeStateIssuer
9787461MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address randerson@rpamd.com.direct.emds.com Direct

National Provider Directory

National Provider Directory

Locations

300 Stafford St
Ste 303
Springfield, MA 01104
Phone (413) 732-6097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1063607455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 CAREW ST STE 323",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042431",
            "telephone_number": "413-732-9600",
            "fax_number": "413-732-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST STE 323",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01104",
            "telephone_number": "413-732-9600",
            "fax_number": "413-732-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P ANDERSON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-732-9600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MA",
            "license": "79633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787461",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randerson@rpamd.com.direct.emds.com",
            "affiliation": "N",
            "endpointDescription": "EMR direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "299 Carew St Ste 323",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.