John R Anderson, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD030460L Issued in PA

Practice address

701 Ostrum St.
Suite 401
Bethlehem, PA 18015

Phone

(610) 691-0351

Fax

(610) 691-4131

NPI assigned

Apr 14, 2006

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Anderson-Gadbois Urologic Assoc., PC

  • Urology Physician
  • Bethlehem, PA
  • NPI 1003870627
  Authorized official Same address or phone

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1427012632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST.",
            "address_2": "SUITE 401",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18015",
            "telephone_number": "610-691-0351",
            "fax_number": "610-691-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OSTRUM ST.",
            "address_2": "SUITE 401",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18015",
            "telephone_number": "610-691-0351",
            "fax_number": "610-691-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD030460L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0696748",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anchored in Attunement
• Ancillary Support LLC
• Anderson-Gadbois Urologic Assoc., PC
• Alexis Corrine Anderson, DO
• Deviona Anderson
• Kelly Anderson, CRNA
• Peter Thomas Andolino, D.M.D
• Kenneth Michael Andrejko, D.O.
• Marilyn J Andress, MS, CCC-SLP
• Stacy N Andrews, RN, BSN

• Urology Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.