Active NPI
Anson Li, M.D.
- Surgery Physician
- Jamestown, ND
National Provider Identifier
1326064015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 11843
- Practice address
- 401 3Rd St SE
Jamestown, ND 58401-4247 - Phone
- (701) 253-5300
- Fax
- (701) 253-5402
- NPI assigned
- Jul 14, 2006
- Last updated
- Dec 14, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 9700637 | NC | |
| Surgery Physician | 208600000X | 11843 | ND | Primary |
Addresses
Primary practice location
401 3Rd St SE
Jamestown, ND 58401-4247
Mailing address
PO Box 6001
Fargo, ND 58108-6001
Phone (701) 253-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89131F0 | Medicaid | NC | |
| 15695 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9700637 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients |
Interoperability endpoints
- ali167867@direct.unitypoint.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1326064015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6001",
"city": "FARGO",
"state": "ND",
"postal_code": "581086001",
"telephone_number": "701-253-5300",
"fax_number": "701-253-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 3RD ST SE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584014247",
"telephone_number": "701-253-5300",
"fax_number": "701-253-5402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "ANSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "9700637",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ND",
"license": "11843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89131F0",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15695",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.