Anderson Medical Group of Texas PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ANDERSON MEDICAL GROUP OF TEXAS PLLC

Practice address

1411 N Beckley Ave Ste 352
Dallas, TX 75203-1270

Phone

(469) 981-2648

Fax

(888) 570-2264

NPI assigned

Nov 5, 2021

Organization subpart

No

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

Authorized official

Name

Howard E Anderson Jr., MDNPI 1396825006

Title

President

Phone

(469) 981-2648

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard Eugene Anderson Jr., M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1396825006

  Internal Medicine, TX

  Medicare reassignment NPD Authorized official
• Angela Denise Barrett, FNP-BC

  • Family Nurse Practitioner
  • Forney, TX
  • NPI 1881236685

  TX

  Medicare reassignment NPD
• April Johnson, FNP-C

  • Family Nurse Practitioner
  • Midlothian, TX
  • NPI 1285263087

  TX

  Medicare reassignment NPD
• Omar Martinez

  • Physician Assistant
  • Dallas, TX
  • NPI 1760191555

  TX

  Medicare reassignment NPD
• Samuel Anene, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1093685299

  TX

  Medicare reassignment
• Okechukwu Aniagoh-Alakwe, PA

  • Physician Assistant
  • Dallas, TX
  • NPI 1881231637

  TX

  Medicare reassignment
• Nadia Carolina Redmon

  • Physician Assistant
  • Dallas, TX
  • NPI 1316671076

  TX

  Medicare reassignment

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1427713239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 352",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031270",
            "telephone_number": "469-981-2648",
            "fax_number": "888-570-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 352",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031270",
            "telephone_number": "469-981-2648",
            "fax_number": "888-570-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON MEDICAL GROUP OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-981-2648",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Allan Andersen, CRNA
• Darrell Wesley Andersen, CRNA
• John Milton Andersen, MD
• Marshall Andersen, CRNA
• Nicholas Daniel Andersen, M.D.
• Flora Diane Anderson-Captain, LPC
• Terri Anderson-Mays
• Abby Lynn Anderson, APN
• Adam Anderson
• Adrienne Anderson

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.