Active NPI
Tracy Joseph Anderson, M.D.
- Anesthesiology Physician
- Iowa City, IA
National Provider Identifier
1376767079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 37627
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1007 - Phone
- (208) 450-2011
- NPI assigned
- Apr 12, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M-8414 | ID | |
| Anesthesiology Physician | 207L00000X | 32547 | AZ | |
| Anesthesiology Physician | 207L00000X | ME-89192 | FL | |
| Anesthesiology Physician | 207L00000X | 42192 | CO | |
| Anesthesiology Physician | 207L00000X | 37627 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1007
Mailing address
Weingartl 15
Natters, TIROL 6161
AT
Phone (208) 450-2011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10178066 | Medicaid | CO |
Other names 1
- Dr. Tracy Joseph Giessman
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME-89192 | FL | MD | Anesthesiology Physician |
| 37627 | IA | MD | Anesthesiology Physician |
| M-8414 | ID | MD | Anesthesiology Physician |
| 32547 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Country Anesthesia, P.C. | Anesthesiology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Flagstaff, AZ
- NPI 1700824406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287878400000",
"number": "1376767079",
"addresses": [
{
"country_code": "AT",
"country_name": "Austria",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "WEINGARTL 15",
"city": "NATTERS",
"state": "TIROL",
"postal_code": "6161",
"telephone_number": "208-450-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421007",
"telephone_number": "208-450-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "TRACY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2010-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ID",
"license": "M-8414",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "32547",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME-89192",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "42192",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "37627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10178066",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "GIESSMAN",
"middle_name": "JOSEPH",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.