Kenneth W. Anderson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD012869 Issued in TN

Practice address

501 Park Ave
Suite C
Lebanon, TN 37087-1706

Phone

(615) 444-4070

Fax

(615) 444-4099

NPI assigned

Oct 2, 2006

Last updated

Mar 18, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Odyssey Healthcare Operating a, LP

  dba Gentiva II

  • Community Based Hospice Care Agency
  • Nashville, TN
  • NPI 1649271578

  Contracted Managing Employee

  CMS ownership

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.

• Vip Home Nursing & Rehabilitation Service, LLC

  dba CareAll Home Care Services, LLC

  • Home Health Agency
  • Nashville, TN
  • NPI 1578528923
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1467545541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370880190",
            "telephone_number": "615-444-4070",
            "fax_number": "615-444-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARK AVE",
            "address_2": "SUITE C",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871706",
            "telephone_number": "615-444-4070",
            "fax_number": "615-444-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KENNETH",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD012869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameri-Kare Incorporated
• American Behavioral Consultants
• American National Home Health Inc
• Ashley Amos
• Blake Anders
• Stephanie Anderson, LPC-MHSP
• Anesthesia Services of Middle Tennessee, PLLC
• Anesthesia Services of Wilson County PLLC
• Alexa Rae Anglin, D.N.P.
• Anycare LLC (Anycare 24)

• Internal Medicine Physician in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.