Active NPI
Anders P. Nelson, M.D.
- Pediatrics Physician
- Clarks Summit, PA
National Provider Identifier
1457301145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD043822E
- Practice address
- 110 Layton Rd
Clarks Summit, PA 18411-9031 - Phone
- (570) 586-8879
- Fax
- (570) 586-3953
- NPI assigned
- May 11, 2006
- Last updated
- Jan 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD043822E | PA | Primary |
Addresses
Primary practice location
110 Layton Rd
Clarks Summit, PA 18411-9031
Mailing address
PO Box 399
Chinchilla, PA 18410-0399
Phone (570) 586-8879
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD043822E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph's Center | Past | Accepting new patients | |
| Scranton Hospital Company LLC | Past | Accepting new patients | |
| Anders P. Nelson, MD, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Clarks Summit, PA
- NPI 1992910699
-
dba Regional Hospital of Scranton
- General Acute Care Hospital
- Scranton, PA
- NPI 1881983039
-
- Intellectual Disabilities Intermediate Care Facility
- Scranton, PA
- NPI 1316075419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1457301145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 399",
"city": "CHINCHILLA",
"state": "PA",
"postal_code": "184100399",
"telephone_number": "570-586-8879",
"fax_number": "570-586-3953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LAYTON RD",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184119031",
"telephone_number": "570-586-8879",
"fax_number": "570-586-3953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ANDERS",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD043822E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarks Summit, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.