Individual provider Active NPI

Mary Alice Anderson, MD, MPH

  • Public Health & General Preventive Medicine Physician
  • El Paso, TX
National Provider Identifier
1497032080
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
P0536 Issued in TX
Practice address
401 E Franklin Ave
Suite 201
El Paso, TX 79901-1206
Phone
(915) 834-7680
Fax
(915) 834-7800
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X D34341 MD
Public Health & General Preventive Medicine Physician 2083P0901X P0536 TX Primary
Public Health & General Preventive Medicine Physician 2083P0901X 11707 NV

Addresses

Primary practice location

401 E Franklin Ave
Suite 201
El Paso, TX 79901-1206

Mailing address

401 E Franklin Ave
Suite 201
El Paso, TX 79901-1206
Phone (915) 834-7680

Other names 1

  • Dr. Mary Alice Ness Former name

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

LicenseStateTypeSpecialty
D34341MDMDAerospace Medicine Physician
11707NVMDPublic Health & General Preventive Medicine Physician
P0536TXMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1497032080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E FRANKLIN AVE",
            "address_2": "SUITE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011206",
            "telephone_number": "915-834-7680",
            "fax_number": "915-834-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E FRANKLIN AVE",
            "address_2": "SUITE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011206",
            "telephone_number": "915-834-7680",
            "fax_number": "915-834-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "MD",
            "license": "D34341",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "P0536",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NV",
            "license": "11707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "NESS",
            "middle_name": "ALICE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.