Organization Active NPI

Dr Robert L Anderson Inc

  • Podiatrist
  • Solon, OH
National Provider Identifier
1477645588
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-001275 Issued in OH
Legal business name
DR ROBERT L ANDERSON INC
Practice address
33565 Bainbridge Rd
Solon, OH 44139-2952
Phone
(440) 519-2900
NPI assigned
Sep 28, 2006
Last updated
Nov 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Tremaine B Oatman, DPM
Title
President
Phone
(440) 519-2900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 36-001275 OH Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 36-001994 OH

Addresses

Primary practice location

33565 Bainbridge Rd
Solon, OH 44139-2952

Mailing address

33565 Bainbridge Rd
Solon, OH 44139-2952
Phone (440) 519-2900

Other identifiers 2

IdentifierTypeStateIssuer
CL1675OtherOHRAILROAD MEDICARE
2040820MedicaidOH

National Provider Directory

National Provider Directory

Locations

33565 Bainbridge Rd
Solon, OH 44139
Phone (440) 519-2900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1477645588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33565 BAINBRIDGE RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392952",
            "telephone_number": "440-519-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33565 BAINBRIDGE RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392952",
            "telephone_number": "440-519-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT L ANDERSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "OATMAN",
        "authorized_official_first_name": "TREMAINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-519-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-001275",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-001994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL1675",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.