Antony D. Anderson, M.D., PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23093 Issued in OK

Legal business name

ANTONY D. ANDERSON, M.D., PLLC

Practice address

1801 Parkview Dr
El Reno, OK 73036-2103

Phone

(405) 422-3177

Fax

(405) 252-9400

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2020By 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

Antony D Anderson, M.D.

Title

Owner

Phone

(405) 422-3177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184709362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PARKVIEW DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362103",
            "telephone_number": "405-422-3177",
            "fax_number": "405-252-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PARKVIEW DR",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730362103",
            "telephone_number": "405-422-3177",
            "fax_number": "405-252-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONY D. ANDERSON, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANTONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-422-3177",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "23093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in El Reno, OK
• Providers in El Reno, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.