Daniel Matthew Anderson, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2996 Issued in TN

Practice address

603 E Emory Rd Ste 105
Powell, TN 37849-3567

Phone

(865) 859-7377

Fax

(865) 859-7378

NPI assigned

Jun 22, 2011

Last updated

Sep 1, 2020By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

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.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.anderson.1@4694.direct.athenahealth.com
• Direct secure messaging: danielanderson@arh.medalliesdirect.net

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.

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010

  Internal Medicine

  Medicare reassignment NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Our Lady of the Way

  • Critical Access Hospital
  • Martin, KY
  • NPI 1306339460

  Internal Medicine

  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba Mary Breckinridge ARH Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Hyden, KY
  • NPI 1962040758
  NPD

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1104112705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E EMORY RD STE 105",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493567",
            "telephone_number": "865-859-7377",
            "fax_number": "865-859-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E EMORY RD STE 105",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493567",
            "telephone_number": "865-859-7377",
            "fax_number": "865-859-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DANIEL",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.anderson.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct address",
            "address_1": "603 E Emory Rd Ste 105",
            "city": "Powell",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378493567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert C Alley, MD
• Jessica L Allin, PHD
• Rene Alberto Alvarenga, MD
• Omer Amari
• Tonya S. Ambler, NP
• Melissa B Anderson, RPH, PHARMD
• Sarah Anderson, RN
• Sean Anderson, PA-C
• Richard Angelo Antonucci, MD
• App of East Tennessee Ed PLLC

• Internal Medicine Physician in Powell, TN
• Providers in Powell, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.