NPIMap

Individual provider Active NPI

Eliza Claire Anderson, MD

  • Orthopaedic Surgery Physician
  • Winston Salem, NC
National Provider Identifier
1366805889
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
22946 Issued in NH
Practice address
Wfu School of Medicine Department of Orthopedic Surgery
Winston Salem, NC 27157-4001
Phone
(336) 716-4011
NPI assigned
Apr 1, 2016
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2021-00711 NC
Orthopaedic Surgery Physician 207X00000X 267965 MA
Orthopaedic Surgery Physician 207X00000X 22946 NH Primary
Orthopaedic Trauma Physician 207XX0801X 22946 NH

Addresses

Primary practice location

Wfu School of Medicine Department of Orthopedic Surgery
Winston Salem, NC 27157-4001

Mailing address

264 Pleasant St
Concord, NH 03301-2551
Phone (603) 224-3368

Other practice location 1

850 Harrison Ave
Dowling 2 North
Boston, MA 02118-4001
Phone (617) 638-8934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210811001784 NC Practitioner - Orthopedic Surgery 9638464027
I20221108002442 NH Practitioner - Orthopedic Surgery 9638464027 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speare Memorial HospitalGroup PAC ID 1153318068, shared by 12 NPIs, 49 clinicians

Practice addresses (Care Compare)

103 Boulder Point Dr
Plymouth, NH 03264-3168
Phone (603) 536-1565

16 Hospital Rd
Plymouth, NH 03264-1126
Phone (603) 481-8780

16 Hospital Rd
Plymouth, NH 03264-1199

264 Pleasant St
Concord, NH 03301-2551
Phone (603) 224-3368

71 Highland St
Plymouth, NH 03264-1233
Phone (603) 536-3700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22946NHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Speare Memorial Hospital Current Accepting new patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Concord Orthopaedics Professional Association Orthopaedic Surgery CurrentSince Oct 17, 2022 Accepting new patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Speare Memorial Hospital Orthopaedic Surgery CurrentSince Nov 29, 2022 Accepting new patients
Speare Memorial Hospital CurrentSince Nov 29, 2022 Accepting new patients
Speare Memorial Hospital CurrentSince Nov 29, 2022 Accepting new patients
Concord Orthopaedics Professional Association Orthopaedic Surgery CurrentSince Oct 17, 2022 Accepting new patients
Boston University Orthopaedic Surgical Associates, Inc. Orthopaedic Surgery Past Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

264 Pleasant St
Concord, NH 03301

57 Regional Dr
Ste 1
Concord, NH 03301

6 Tsienneto Rd
Ste 200
Derry, NH 03038
Phone (603) 426-5222

178 Daniel Webster Hwy
Meredith, NH 03253

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

Interoperability endpoints

  • Direct secure messaging: eliza.anderson.1@32845.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1366805889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012551",
            "telephone_number": "603-224-3368",
            "fax_number": "603-224-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WFU SCHOOL OF MEDICINE DEPARTMENT OF ORTHOPEDIC SURGERY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271574001",
            "telephone_number": "336-716-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Harrison Ave",
            "address_2": "Dowling 2 North",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021184001",
            "country_code": "US",
            "telephone_number": "617-638-8934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ELIZA",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2021-00711",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "267965",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "22946",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NH",
            "license": "22946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.