Warren Anderson, MSP

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

228-18 Issued in WI

Practice address

8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548

Phone

(414) 955-1847

NPI assigned

Mar 12, 2020

Last updated

Mar 12, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1194350991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 HIGHLAND DR",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474855",
            "telephone_number": "847-431-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 W WATERTOWN PLANK RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-955-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WARREN",
        "credential": "MSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "WI",
            "license": "228-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Anderson, BSN, RN
• Stephen L Anderson, LCSW
• Suzanne Butz Anderson
• Venice Anderson, PSY.D.
• Vicki Leatrice Anderson, MD
• William G Anderson, MD
• Yvonne Erin Anderson, RN MS CPNP
• Bianca Andino, ED.S.
• Kathryn Andrae
• Mihail Andreev Andreev, MD

• Perfusionist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Perfusionist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.