Individual provider Active NPI

William Robert Anderson, MD

  • Anatomic Pathology Physician
  • Ocala, FL
National Provider Identifier
1235186693
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
54122 Issued in FL
Practice address
1160 SE 18TH PL
Ocala, FL 34471-5422
Phone
(407) 256-2171
NPI assigned
May 30, 2006
Last updated
Jul 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 54122 FL Primary

Addresses

Primary practice location

1160 SE 18TH PL
Ocala, FL 34471-5422

Mailing address

1630 Bridgewater Dr
Heathrow, FL 32746-4103
Phone (407) 256-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20070419000135 FL Practitioner - Pathology 6103921135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Miami, LM Miller School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endoscopy Center of Ocala IncGroup PAC ID 2466448709, 19 clinicians

Practice addresses (Care Compare)

1150 SE 18TH Place
Ocala, FL 34471-5422
Phone (352) 732-8905

1901 SE 18TH Ave
Suite 400
Ocala, FL 34471-8213
Phone (352) 732-8905

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54122FLMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Ocala Inc CurrentSince Sep 1, 2009 Accepting new patients
Professional Gastroenterology & Nutrition Associates, P.a. Past Accepting new patients

Locations

1150 SE 18th Pl
Ocala, FL 34471
Phone (352) 732-8905

1160 SE 18th Pl
Ocala, FL 34471
Phone (352) 732-8905

1901 SE 18th Ave
Ste 400
Ocala, FL 34471
Phone (352) 620-0070

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1235186693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 BRIDGEWATER DR",
            "city": "HEATHROW",
            "state": "FL",
            "postal_code": "327464103",
            "telephone_number": "407-256-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 SE 18TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715422",
            "telephone_number": "407-256-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "54122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.