John Nels Anderson, M.D.
Organization Active NPI Family Medicine Physician · Soldotna, AK
NPI 1457762965 · NPPES record last updated May 19, 2014
Key facts
- NPI
- 1457762965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- AA1677 (AK)
- Legal business name
- JOHN NELS ANDERSON, M.D.
- Practice address
- 265 N Binkley St
Soldotna, AK 99669-7523 - Phone
- (907) 262-4161
- Fax
- (907) 262-1545
- NPI assigned
- May 19, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. John Nels Anderson, M.D.
- Title
- Owner
- Phone
- (907) 262-4161
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- John Nels Anderson MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | AA1677 | AK | Yes |
Addresses
Primary practice location
265 N Binkley St
Soldotna, AK 99669-7523
Mailing address
265 N Binkley St
Soldotna, AK 99669-7523
Phone (907) 262-4161
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021190 | Medicaid | AK |
Other providers in Soldotna, AK
- Job Ready, Inc.
- Job Ready, Inc.
- Job Ready, Inc.
- Job Ready, Inc.
- John Nels Anderson MD
- Bruce David Johnson
- Carol Johnson
- Carol A Johnson
- Heather Johnson
- Julie L Johnson
All providers in Soldotna, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.