Active NPI
Todd David Anderson, DSC EMPA
- Physician Assistant
- Fort Polk, LA
National Provider Identifier
1326198698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- NCCPA# 1063283
- Practice address
- 1585 3Rd St
Fort Polk, LA 71459-5102 - Phone
- (337) 531-3368
- NPI assigned
- Jan 11, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NCCPA# 1063283 | NE | Primary |
| Medical Physician Assistant | 363AM0700X | MED-PAC-LIC-70835 | MT |
Addresses
Primary practice location
1585 3Rd St
Fort Polk, LA 71459-5102
Mailing address
1585 3Rd St
(337)-531-3368
Fort Polk, LA 71459-5102
Phone (726) 780-2427
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NCCPA# 1063283 | NE | MD | Physician Assistant |
| MED-PAC-LIC-70835 | MT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1326198698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 3RD ST",
"address_2": "(337)-531-3368",
"city": "FORT POLK",
"state": "LA",
"postal_code": "714595102",
"telephone_number": "726-780-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 3RD ST",
"city": "FORT POLK",
"state": "LA",
"postal_code": "714595102",
"telephone_number": "337-531-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TODD",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DSC EMPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "NCCPA# 1063283",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MT",
"license": "MED-PAC-LIC-70835",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Polk, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.