Mark R Anderson, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Salem, MA
NPI 1083672943 · NPPES record last updated Apr 27, 2022
Key facts
- NPI
- 1083672943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 70317 (MA)
- Practice address
- 81 Highland Ave
Salem, MA 01970-2714 - Phone
- (978) 744-5900
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050816000335 | MA | Practitioner - Cardiovascular Disease (Cardiology) | 9638109010 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current |
Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current |
Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 70317 | MA | Yes |
Addresses
Primary practice location
81 Highland Ave
Salem, MA 01970-2714
Mailing address
81 Highland Ave
Salem, MA 01970-2714
Phone (978) 744-5900
Other practice location 1
55 Fruit St
Boston, MA 02114-2621
Phone (978) 882-6191
Other providers in Salem, MA
- Amy Carlson-Pallazola, LMHC, LLC
- Stephanie Amyot
- Anaesthesia Associates of Massachusetts, PC
- Jennifer Anderson
- Jeremy Anderson
- Robin Anderson
- Sandra Anderson
- Brittani Andler
- Andrea Chisholm MD LLC
- Ryan Andrew
All providers in Salem, MA · Cardiovascular Disease Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2022. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.