NPIMap

Individual provider Active NPI

Andrew Joseph Anderson, D.O.

  • Family Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1164845632
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102204397 Issued in VA
Practice address
4327 Boonsboro Rd Ste 5
Lynchburg, VA 24503
Phone
(434) 214-0722
Fax
(434) 288-1211
NPI assigned
Feb 3, 2014
Last updated
May 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102204397 VA Primary
Family Medicine Physician 207Q00000X R09580 IA

Addresses

Primary practice location

4327 Boonsboro Rd Ste 5
Lynchburg, VA 24503

Mailing address

4327 Boonsboro Rd Ste 5
Lynchburg, VA 24503-2348
Phone (434) 214-0722

Other practice location 1

4327 Boonsboro Rd Ste 5
Lynchburg, VA 24503
Phone (434) 214-0722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2019 through Jan 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians

Practice addresses (Care Compare)

216 Amelon SQ
Suite 7
Madison Heights, VA 24572-5981
Phone (434) 225-4210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R09580IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J Anderson DO, PC Family Medicine Current Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1164845632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 BOONSBORO RD STE 5",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032348",
            "telephone_number": "434-214-0722",
            "fax_number": "434-288-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 BOONSBORO RD STE 5",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24503",
            "telephone_number": "434-214-0722",
            "fax_number": "434-288-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4327 Boonsboro Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "24503",
            "country_code": "US",
            "telephone_number": "434-214-0722",
            "fax_number": "434-288-1211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-03",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102204397",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R09580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.