Devon Anderson
Individual provider Active NPI Anesthesiology Physician · Columbia, MO
NPI 1508619784 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1508619784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 2025025209 (MO)
- Practice address
- 1 Hospital Dr
Columbia, MO 65212-1000 - Phone
- (702) 853-3564
- NPI assigned
- Apr 8, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025025209 | MO | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 2025025209 | MO | Yes |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65212-1000
Mailing address
1 Hospital Dr
Columbia, MO 65212-1000
Other providers in Columbia, MO
- Alex James Anderson-Kahl
- Alexander Anderson
- Amanda J Anderson
- Bradley W Anderson
- Daniel William Anderson
- Ethan Scott Anderson
- Heather Nicole Anderson
- Jennifer Anderson
- Jennifer Lynn Anderson
- Jennifer Rachel Anderson
All providers in Columbia, MO · Anesthesiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.