Active NPI
Christopher Michael Anderson, M.D.
- Pediatric Surgery Physician
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- ME101934
- Practice address
- 1765 David Walker Dr
Tavares, FL 32778-5745 - Phone
- (407) 303-7280
- Fax
- (407) 303-7265
- NPI assigned
- Mar 12, 2007
- Last updated
- Oct 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2009023875 | MO | |
| Pediatric Surgery Physician | 2086S0120X | ME101934 | FL | Primary |
Addresses
Primary practice location
1765 David Walker Dr
Tavares, FL 32778-5745
Mailing address
1765 David Walker Dr
Tavares, FL 32778-5745
Phone (407) 303-7280
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316079411 | Medicaid | MO | |
| 179100001 | Medicaid | AR | |
| 431560263 | Other | TRICARE WEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Surgery | Current | Accepting new patients |
| The Nemours Foundation | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Bellville Hospital District | Past | Accepting new patients | |
| Bellville Medical Center | Surgery | Past | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2501 N Orange Ave
Ste 200
Orlando, FL 32804
Phone (407) 303-7280
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
Interoperability endpoints
- canderson73739@adventhealth.direct-ci.com
- christopher.anderson.1@9582.direct.athenahealth.com
Organizations & group practices 8
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Surgery
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
dba Bellville General Hospital
- General Acute Care Hospital
- Bellville, TX
- NPI 1457358103
-
dba Mid Coast Medical Center-Bellville
- General Acute Care Hospital
- Bellville, TX
- NPI 1477857332
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1316079411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 DAVID WALKER DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785745",
"telephone_number": "407-303-7280",
"fax_number": "407-303-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 DAVID WALKER DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785745",
"telephone_number": "407-303-7280",
"fax_number": "407-303-7265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2009023875",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "FL",
"license": "ME101934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316079411",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179100001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE WEST",
"identifier": "431560263",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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- Kevin Anderson, PTA
- Tonya Lanette Andrews, MSW, RCSW
- Rudi Gaston Andries, P.T.
- Anesthesia Dynamics LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.