Michael J Anderson, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Weymouth, MA
NPI 1144201534 · NPPES record last updated Jan 21, 2014
Key facts
- NPI
- 1144201534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 53192 (MA)
- Practice address
- 51 Performance Dr
Suite 110
Weymouth, MA 02189-3141 - Phone
- (781) 340-0735
- Fax
- (781) 331-6355
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20060331000314 | MA | Practitioner - Hematology/Oncology | 7012925126 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 53192 | MA | Yes |
Addresses
Primary practice location
51 Performance Dr
Suite 110
Weymouth, MA 02189-3141
Mailing address
10 Willard St
Quincy, MA 02169-1281
Phone (617) 479-1452
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4144821 | Other | MA | CIGNA |
| 3063178 | Medicaid | MA | |
| 4144821 | Other | MA | HARVARD PILGRIM |
| 501499 | Other | MA | AETNA US HEALTH |
| 715870 | Other | MA | TUFTS HEALTH CARE |
| J09389 | Other | MA | BLUE CROSS BLUE SHIELD |
Other providers in Weymouth, MA
- Kristen Eleanor Allaire
- Hana Altwal
- Amanda Moffitt, PLLC
- Heidi Flora Anderson-Dockter
- Mark Anderson
- Evelyn Marjorie Andrade
- Angelica Wilson, LMHC Counseling
- Gretchen A Anjomi
- Annisya Bagdonas, DDS, PLLC
- Apex Medical Products
All providers in Weymouth, MA · Hematology & Oncology 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 Jan 21, 2014. 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.