Daniel R Anderson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01034968 Issued in IN

Practice address

505 W Homer St
Suite 202
Salem, IN 47167-1698

Phone

(812) 883-5501

Fax

(812) 883-5513

NPI assigned

Apr 13, 2006

Last updated

Apr 29, 2016By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Daniel R Anderson MD PC

  • Internal Medicine Physician
  • Salem, IN
  • NPI 1871772509
  Authorized official Same address or phone
• Floyd Memorial Hospital and Health Services

  • Internal Medicine Physician
  • Charlestown, IN
  • NPI 1457516643
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1245294636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W HOMER ST",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671698",
            "telephone_number": "812-883-5501",
            "fax_number": "812-883-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W HOMER ST",
            "address_2": "SUITE 202",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671698",
            "telephone_number": "812-883-5501",
            "fax_number": "812-883-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DANIEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01034968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100255290A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdelrahman M Abdalla, MD
• Bailey Acord
• James Robert Agan, DDS
• Terri Dawn Backherms, L.C.S.W.
• Abhishek Balapur
• Baptist Health Medical Group Inc
• Shelly A Bartoch
• Sheila Belamour, PTA

• Internal Medicine Physician in Salem, IN
• Providers in Salem, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.