Alexander Anderson, PA-C
Individual provider Active NPI Physician Assistant · Saginaw, MI
NPI 1295780898 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1295780898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601003038 (MI)
- Practice address
- 1015 S Washington Ave Ste E
Saginaw, MI 48601 - Phone
- (989) 907-7636
- Fax
- (989) 907-7584
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050216000707 | MI | Practitioner - Physician Assistant | 2163474206 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003038 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Saginaw | Current |
Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current |
Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients | |
| Northern Michigan Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Midmichigan Urgent Care | Past | Accepting new patients | |
| Em Med, P C | Emergency Medicine | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
1015 S Washington Ave
Ste E
Saginaw, MI 48601
Phone (989) 907-7636
1015 S Washington Ave
Fl 2
Saginaw, MI 48601
Phone (989) 753-5300
295 Maple St
Ste 201
Tawas City, MI 48763
Phone (989) 362-0188
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
Interoperability endpoints
- alexander.anderson.1@11016.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MA0951764 | MI | |
| Physician Assistant | 363A00000X | 5601003038 | MI | Yes |
Addresses
Primary practice location
1015 S Washington Ave Ste E
Saginaw, MI 48601
Mailing address
PO Box 779
Tawas City, MI 48764-0779
Phone (989) 362-9411
Other practice location 1
9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 422-5122 ext. 2110
Other practice location 2
9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 422-5122 ext. 2110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601003038 | Other | MI | MI LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alexander.anderson.1@11016.direct.athenahealth.com |
Other providers in Saginaw, MI
- Andersen Eye Associates, PLC
- Andersen Eye Associates, PLC
- Andersen Eye Associates, PLC
- Andersen Eye Prosthetics LLC
- Andersen Eye Surgery Center, LLC
- Andrea Maria Anderson
- Clyde Anderson III
- Elise Anderson
- Isabella Anderson
- Jacquelyn Michelle Anderson
All providers in Saginaw, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.