Christian G Anderson MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19586 Issued in NC

Legal business name

CHRISTIAN G ANDERSON MD PA

Practice address

502 W King St
Suite 100
Kings Mountain, NC 28086-3362

Phone

(704) 734-0576

Fax

(704) 730-1712

NPI assigned

Sep 19, 2007

Last updated

Sep 3, 2010By 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

Dr. Christian G Anderson, M.D.

Title

Physician

Phone

(704) 734-0576

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1245426667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W KING ST",
            "address_2": "SUITE 100",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863362",
            "telephone_number": "704-734-0576",
            "fax_number": "704-730-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W KING ST",
            "address_2": "SUITE 100",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863362",
            "telephone_number": "704-734-0576",
            "fax_number": "704-730-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN G ANDERSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "704-734-0576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "19586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911190",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Self Growth PLLC
• Christopher M. Cerjan, MD
• John Allyn Cheshire III, PA-C
• Chiropractic Physicians of the Carolinas - Kings Mountain
• Tyler Chiste
• Clear View Optical LLC
• Cleco Primary Care Network (Kings Mountain Medical Center)
• Cleveland County Healthcare System (Kings Mountain Hospital)
• Cleveland County Healthcare System (Kings Mountain Hospital)
• Cleveland County Healthcare System (Kings Mountain Swing)

• Internal Medicine Physician in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.