Deborah M Anderson, MD
Individual provider Active NPI Pediatrics Physician · Columbus, NE
NPI 1114000346 · NPPES record last updated May 30, 2012
Key facts
- NPI
- 1114000346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 20452 (NE)
- Practice address
- 3775 45TH Ave
Columbus, NE 68601-4427 - Phone
- (402) 564-7200
- Fax
- (402) 564-7210
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050813000032 | NE | Practitioner - Pediatric Medicine | 7517997299 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20452 | NE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Community Hospital Inc | Current |
Accepting new patients | |
| Columbus Community Hospital Inc | Current | Accepting new patients | |
| Columbus Community Hospital Inc | Current |
Accepting new patients | |
| Columbus General Surgery PC | Past | Accepting new patients | |
| Columbus Community Hospital Inc | Past | Accepting new patients |
Locations
4508 38th St
Ste 165
Columbus, NE 68601
Phone (402) 562-4444
4508 38th St
Ste 133
Columbus, NE 68601
Phone (402) 562-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20452 | NE | Yes |
Addresses
Primary practice location
3775 45TH Ave
Columbus, NE 68601-4427
Mailing address
PO Box 1066
3775 45TH Ave
Columbus, NE 68602-1066
Phone (402) 564-7200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025279800 | Medicaid | NE |
Other providers in Columbus, NE
- Jennifer Regina Alexander
- Susan M Alexander
- Sarah Rae Allard
- Kimberly K Allen
- Rocio Alvarez Gonzalez
- Janell S Anderson
- Kipton Lynn Anderson
- Andrew P Stadler DDS PC
- Jonathan Blake Anthony
- Kristie Ann Armstrong
All providers in Columbus, NE · Pediatrics Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2012. 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.