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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23668 | MS | MD | Adult Reconstructive Orthopaedic Surgery Physician |
| 0101239171 | VA | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennett Hma Physician Management, LLC | Multi-Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 0101239171 | VA | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 0101239171 | VA | |
| Adult Reconstructive Orthopaedic Surgery Physician |
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
{
"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
- Shayan Amini
- Patricia Garcia Amolenda
- Sheranda Amos
- Yanis Amrani
- Amy Stackler LLC
- Gaurav Anand
- Indu Kathuria Anand
- Vinod Kumar Anand
- Michael Alexander Anders
- Anderson Dental, LLC
All providers in Jackson, MS · Adult Reconstructive Orthopaedic Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.