John D Anderson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18845 Issued in NH

Practice address

22 Prospect St
Nashua, NH 03060-3924

Phone

(603) 883-1626

Fax

(603) 816-1039

NPI assigned

Aug 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: john.anderson.1@28541.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Foundation Medical Partners Inc

  • Internal Medicine Physician
  • Nashua, NH
  • NPI 1033162037
  NPD (past)
• Foundation Medical Partners Inc.

  • Durable Medical Equipment & Medical Supplies
  • Amherst, NH
  • NPI 1679921472
  NPD (past)
• Lamprey Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Newmarket, NH
  • NPI 1568412237

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1205940574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603924",
            "telephone_number": "603-883-1626",
            "fax_number": "603-816-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PROSPECT ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603924",
            "telephone_number": "603-883-1626",
            "fax_number": "603-816-1039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Main St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "03060",
            "country_code": "US",
            "telephone_number": "603-595-7388",
            "fax_number": "603-577-5643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "18845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3112354",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Anctil, BA
• Rachel A Andersen, BA
• Anderson Holdings, Inc
• Felicity Anderson
• Jessica Leigh Anderson, MS, OTR/L
• Kacey Anderson
• Karina Anderson, BA
• Laurie Beth Anderson, LCMHC
• Margaret Ann Anderson, COTA
• Meredith Anderson, MA

• All providers in Nashua, NH
• Pediatrics Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.