Matthew Wilson Anderson, M.D.,PH.D.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

A100790 Issued in CA

Practice address

Versiti Blood Center of Wisconsin
638 N 18TH St
Milwaukee, WI 53233-2121

Phone

(650) 723-7211

NPI assigned

Oct 10, 2007

Last updated

Apr 4, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1265620777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VERSITI BLOOD CENTER OF WISCONSIN",
            "address_2": "638 N 18TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332121",
            "telephone_number": "650-723-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VERSITI BLOOD CENTER OF WISCONSIN",
            "address_2": "638 N 18TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532332121",
            "telephone_number": "650-723-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MATTHEW",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A100790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren J Anderson, RN, MSN, APNP
• Lynnette J Anderson, APNP
• Madelyn Anderson
• Margaret M Anderson, MD
• Matthew Daniel Anderson
• Megan Anderson, LPC
• Megan Lynn Anderson, APNP
• Michael J Anderson, PA
• Michaela Anderson, OTR
• Natalie Diane Anderson, M.S., LMFT

• Anatomic Pathology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Anatomic Pathology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.