Organization Active NPI

Tonda M. Anderson M.D. PLLC

Doing business as Mount Washington Family Medicine

  • Family Medicine Physician
  • Mt Washington, KY
National Provider Identifier
1386825685
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38446 Issued in KY
Legal business name
TONDA M. ANDERSON M.D. PLLC
Doing business as
Mount Washington Family Medicine
Practice address
10536 Highway 44 E
Mount Washington, KY 40047-7338
Phone
(502) 538-2554
Fax
(502) 538-2426
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Tonda M Anderson, MDNPI 1649278359
Title
Physician
Phone
(502) 538-2554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 38446 KY Primary

Addresses

Primary practice location

10536 Highway 44 E
Mount Washington, KY 40047-7338

Mailing address

10536 Highway 44 E
Mount Washington, KY 40047-7338
Phone (502) 538-2554

Other names 1

  • Mount Washington Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000611 KY Part B Supplier - Clinic/Group Practice 7719953645 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Washington, KY

National Provider Directory

National Provider Directory

Locations

10536 Highway 44 E
Mt Washington, KY 40047
Phone (502) 538-2554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1386825685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10536 HIGHWAY 44 E",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400477338",
            "telephone_number": "502-538-2554",
            "fax_number": "502-538-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10536 HIGHWAY 44 E",
            "city": "MOUNT WASHINGTON",
            "state": "KY",
            "postal_code": "400477338",
            "telephone_number": "502-538-2554",
            "fax_number": "502-538-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONDA M. ANDERSON M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TONDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "502-538-2554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Washington Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Washington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.