Paul David Anderson, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME123407 Issued in FL

Practice address

169 Ashley Ave
Room 202 Main Hospital Msc333
Charleston, SC 29425-8905

Phone

(843) 876-1344

NPI assigned

Jun 28, 2011

Last updated

Mar 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Ohio State University College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Florida Anesthesiologists LLCGroup PAC ID 3173711017, 315 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • St Petersburg, FL
  • NPI 1942519657
  Medicare reassignment Care Compare group
• Centurion Anesthesia - FL LLC

  • Anesthesiology Physician
  • Hollywood, FL
  • NPI 1700528346
  Medicare reassignment
• Gulf-to-Bay Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1720039746
  Medicare reassignment
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Weston, FL
  • NPI 1003488271
  NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Safety Harbor, FL
  • NPI 1528630795
  NPD
• Greater Florida Anesthesiologists, LLC

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1760054019
  NPD
• Nassberg Diabetes Associates Inc

  dba Nassberg Diabetes Associates

  • Family Nurse Practitioner
  • Boca Raton, FL
  • NPI 1891000543

  Endocrinology, Diabetes & Metabolism

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Anthonys Hospital, Inc.

  dba St. Anthonys Hospital

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1427024942
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1366738379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "address_2": "ROOM 202 MAIN HOSPITAL MSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "address_2": "ROOM 202 MAIN HOSPITAL MSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-876-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "MMD.33855 LL",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME123407",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME123407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ravenel Anderson, OTLR
• Matthew Patrick Anderson, MD
• Melanie Sue Anderson, HEALTH SERVICES TECH
• Michael B Anderson, M.D.
• Paige Anderson
• Robert Whittingham Anderson, COTA
• Rose Marie F Anderson, LPC-A
• Selena O. Anderson, FNP
• Shirley L Anderson, OT
• Trisha Anderson, LCSW

• Anesthesiology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.