Cardiology Associates of Wytheville

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101246201 Issued in VA

Legal business name

CARDIOLOGY ASSOCIATES OF WYTHEVILLE

Doing business as

Donald R. Anderson, MD, FACC, FCCP, Col

Practice address

360 Virginia Ave
Wytheville, VA 24382-1185

Phone

(276) 228-5506

Fax

(276) 228-9600

NPI assigned

Sep 1, 2009

Last updated

Jan 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald R Anderson, MD, FACC, FCCP

Title

Ceo/Owner/Col (R)

Phone

(276) 228-5506

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Donald R. Anderson, MD, FACC, FCCP, Col Doing business as

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1154554616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W MONROE ST",
            "address_2": "BOX 266",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822341",
            "telephone_number": "276-228-5506",
            "fax_number": "276-228-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 VIRGINIA AVE",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821185",
            "telephone_number": "276-228-5506",
            "fax_number": "276-228-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY ASSOCIATES OF WYTHEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/OWNER/COL (R)",
        "authorized_official_telephone_number": "276-228-5506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACC, FCCP"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101246201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154554616",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald R. Anderson, MD, FACC, FCCP, Col",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.