Peter Jon Anderson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-41975 Issued in IA

Practice address

801 5TH St
Sioux City, IA 51101-1326

Phone

(712) 279-2010

Fax

(712) 279-2034

NPI assigned

Jun 8, 2006

Last updated

Jun 12, 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0fba742b-eec1-4103-87e5-edbdf1fe1e30/

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.

• The Regional Medical Center of Orangeburg and Calhoun Counties

  dba TRMC Hospitalist

  • Hospitalist Physician
  • Orangeburg, SC
  • NPI 1003889676

  Internal Medicine

  Medicare reassignment NPD
• Regional Medical Center of Orangeburg and Calhoun Counties

  dba RMC Neurology Clinic

  • Neurology Physician
  • Orangeburg, SC
  • NPI 1144940347
  NPD
• The Regional Medical Center of Orangeburg and Calhoun Counties

  dba RMC Behavioral Services

  • Clinical Psychologist
  • Orangeburg, SC
  • NPI 1619387123
  NPD
• Hospitalist Medicine Physicians of Kentucky, PLLC

  • Internal Medicine Physician
  • Paducah, KY
  • NPI 1346563236
  NPD (past)
• Kentucky Inpatient Medicine Associates, PLLC

  • Hospitalist Physician
  • Lexington, KY
  • NPI 1417915661

  Internal Medicine

  NPD (past)
• S Pannu Inc

  • Internal Medicine Physician
  • Susanville, CA
  • NPI 1407987522
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1114967858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TOPPIN DR",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261005",
            "telephone_number": "434-242-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011326",
            "telephone_number": "712-279-2010",
            "fax_number": "712-279-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Toppin Dr",
            "address_purpose": "LOCATION",
            "city": "Hilton Head",
            "state": "SC",
            "postal_code": "299261005",
            "country_code": "US",
            "telephone_number": "434-242-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PETER",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01080422A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-41975",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "39762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64108459",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James F Anderson, LISW
• Jamie Anderson, CADC
• Jordyn B Anderson
• Kim Anderson, OTRL
• Morgan Faye Anderson, RN
• Amir A Andrawis, M.D.
• Anesthesia Consultants PC
• Answers, LLC
• Kosta P Antonopoulos, D.P.M
• Fnu Anum

• Internal Medicine Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.