Alexander Anderson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003038 Issued in 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

Last updated

Mar 29, 2021By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexander.anderson.1@11016.direct.athenahealth.com

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.

• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Primary Care Towne Centre

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1326658154
  Medicare reassignment
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Pulmonary and Critical Care

  • Pulmonary Disease Physician
  • Saginaw, MI
  • NPI 1346543410
  NPD
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Riverfront Cardiology

  • Cardiovascular Disease Physician
  • Saginaw, MI
  • NPI 1467736132
  NPD
• Em Med, P C

  • Emergency Medicine Physician
  • Bay City, MI
  • NPI 1922111228
  NPD (past)
• Midmichigan Urgent Care

  • Family Medicine Physician
  • Midland, MI
  • NPI 1326070897
  NPD (past)
• Mymichigan Medical Center Saginaw

  • Radiation Oncology Physician
  • Saginaw, MI
  • NPI 1780841262
  NPD (past)
• Northern Michigan Emergency Physicians, LLP

  • Emergency Medicine Physician
  • West Branch, MI
  • NPI 1528083292
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1295780898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-362-9411",
            "fax_number": "989-362-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE STE E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48601",
            "telephone_number": "989-907-7636",
            "fax_number": "989-907-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9249 W Lake City Rd",
            "address_purpose": "LOCATION",
            "city": "Houghton Lake",
            "state": "MI",
            "postal_code": "486299602",
            "country_code": "US",
            "telephone_number": "989-422-5122 x2110",
            "fax_number": "989-422-4378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9249 W Lake City Rd",
            "address_purpose": "LOCATION",
            "city": "Houghton Lake",
            "state": "MI",
            "postal_code": "486299602",
            "country_code": "US",
            "telephone_number": "989-422-5122 x2110",
            "fax_number": "989-422-4378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "MA0951764",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexander.anderson.1@11016.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1015 S Washington Ave Ste E",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andersen Eye Associates, PLC
• Andersen Eye Associates, PLC (Andersen Eye Associates)
• Andersen Eye Associates, PLC
• Andersen Eye Prosthetics LLC
• Andersen Eye Surgery Center, LLC
• Andrea Maria Anderson
• Clyde Anderson III
• Cynthia Anderson
• Elise Anderson
• Jacquelyn Michelle Anderson

• Physician Assistant in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.