Active NPI
David Carlton Anderson, MD
- Surgery Physician
- Mesa, AZ
National Provider Identifier
1497773238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25578
- Practice address
- 1818 E Southern Avenue
Suite 1B
Mesa, AZ 85204-5228 - Phone
- (480) 827-7979
- Fax
- (480) 654-7173
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25578 | AZ | Primary |
| Surgery Physician | 208600000X | 12452 | NE |
Addresses
Primary practice location
1818 E Southern Avenue
Suite 1B
Mesa, AZ 85204-5228
Mailing address
1818 E Southern Avenue
Suite 1B
Mesa, AZ 85204-5228
Phone (480) 827-7979
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25578 | AZ | MD | Surgery Physician |
| 12452 | NE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leo G Stinnett Jr MD PLC | Surgery | Past | Accepting new patients |
| Mountain View Surgical Associates PC | Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Mesa, AZ
- NPI 1487722237
-
- Surgery Physician
- Mesa, AZ
- NPI 1053590869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497773238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 E SOUTHERN AVENUE",
"address_2": "SUITE 1B",
"city": "MESA",
"state": "AZ",
"postal_code": "852045228",
"telephone_number": "480-827-7979",
"fax_number": "480-654-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 E SOUTHERN AVENUE",
"address_2": "SUITE 1B",
"city": "MESA",
"state": "AZ",
"postal_code": "852045228",
"telephone_number": "480-827-7979",
"fax_number": "480-654-7173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DAVID",
"middle_name": "CARLTON",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "25578",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "12452",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.