Active NPI
Eric Hilton Anderson
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1245874270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3095
- Practice address
- 4401 S Western Ave
Oklahoma City, OK 73109-3413 - Phone
- (916) 300-8024
- NPI assigned
- Nov 2, 2019
- Last updated
- Nov 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3095 | OK | Primary |
Addresses
Primary practice location
4401 S Western Ave
Oklahoma City, OK 73109-3413
Mailing address
2145 Melrose CT Apt 522
Norman, OK 73069-1552
Phone (916) 300-8024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
709 Better Now PLZ
Ada, OK 74820-2279
Phone (580) 310-9899
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3095 | OK | MD | Emergency Medical Services (Emergency Medicine) Physician |
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.
-
- Family Nurse Practitioner
- Ada, OK
- NPI 1891222030
-
dba Southwest Radiology Associates
- Diagnostic Radiology Physician
- Norman, OK
- NPI 1326039645
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572652800000",
"number": "1245874270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 MELROSE CT APT 522",
"city": "NORMAN",
"state": "OK",
"postal_code": "730691552",
"telephone_number": "916-300-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093413",
"telephone_number": "916-300-8024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ERIC",
"middle_name": "HILTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-02",
"last_updated": "2019-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "3095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.