Arden B Andersen, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

05-29348 Issued in KS

Practice address

712 1St Ter Ste 205
Lansing, KS 66043-1735

Phone

(913) 565-0780

NPI assigned

Oct 4, 2006

Last updated

Jan 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 1, 2022 through Aug 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andersen Medical Group, LLC

  • Occupational Medicine Physician
  • Lenexa, KS
  • NPI 1083104673
  Authorized official Same address or phone
• Prime Healthcare Services - Saint John Leavenworth, LLC

  dba Saint John Leavenworth TCU Unit

  • Medicare Defined Swing Bed Hospital Unit
  • Leavenworth, KS
  • NPI 1609219799
  NPD (past)
• Crossroads Healing Arts LLC

  • General Practice Physician
  • Goshen, IN
  • NPI 1528154895
  NPD (past)
• Crossroads Healing Arts, LLC

  • Family Medicine Physician
  • Elkhart, IN
  • NPI 1295028694
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1093800716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 1ST TER STE 205",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431735",
            "telephone_number": "913-565-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 1ST TER STE 205",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431735",
            "telephone_number": "913-565-0780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 1st Ter",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "66043",
            "country_code": "US",
            "telephone_number": "913-727-6000",
            "fax_number": "913-351-1346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSEN",
        "first_name": "ARDEN",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "05-",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "05-29348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201099500A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Chab Adkinson, LSCSW
• Michael Aaron Albrecht, M.D.
• Sunni Lyn Alford, OT
• Amber Botros DO an Operating Division of Saint John Hospital
• Amberwell Atchison Association (Amberwell Lansing Clinic)
• Julie Ascher
• Associates in Family Health Care (Kansas City Sports Medicine)
• Associates in Family Health Care PA
• John Page Barton III, DDS
• Lucas Bauer, PA

• General Practice Physician in Lansing, KS
• Providers in Lansing, KS by specialty
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.