Ashish Anand, M.D

Individual provider Active NPI Adult Reconstructive Orthopaedic Surgery Physician · Jackson, MS

NPI 1295872174 · NPPES record last updated Jul 22, 2019

Key facts

NPI
1295872174
Entity type
Individual (NPI type 1)
Primary specialty
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
License
23668 (MS)
Practice address
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone
(601) 362-4471
Fax
(601) 368-4133
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23668MSMDAdult Reconstructive Orthopaedic Surgery Physician
0101239171VAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kennett Hma Physician Management, LLC Multi-Specialty Past
since Mar 1, 2018
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 0101239171 VA
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 0101239171 VA
Adult Reconstructive Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207XS0114X 23668 MS Yes

Addresses

Primary practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Mailing address

7403 Society Drive
Claymont, DE 19703
Phone (617) 953-5914

Other practice location 1

7403 Society Dr
Claymont, DE 19703-1772
Phone (617) 953-5914

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 22, 2019.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1295872174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7403 SOCIETY DRIVE",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "19703",
            "telephone_number": "617-953-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165116",
            "telephone_number": "601-362-4471",
            "fax_number": "601-368-4133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7403 Society Dr",
            "address_purpose": "LOCATION",
            "city": "Claymont",
            "state": "DE",
            "postal_code": "197031772",
            "country_code": "US",
            "telephone_number": "617-953-5914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANAND",
        "first_name": "ASHISH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "VA",
            "license": "0101239171",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "VA",
            "license": "0101239171",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MS",
            "license": "23668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

All providers in Jackson, MS · Adult Reconstructive Orthopaedic Surgery Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.