Landon B Anderson, MD

Individual provider Active NPI Orthopaedic Surgery Physician · Andalusia, AL

NPI 1508891516 · NPPES record last updated Mar 10, 2008

Key facts

NPI
1508891516
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
25193 (AL)
Practice address
300 Medical Ave
Ste 1
Andalusia, AL 36420
Phone
(334) 427-1022
Fax
(334) 427-1023
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22542NCMDPharmacist
25193ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics of South Alabama Orthopaedic Surgery Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25193 AL Yes

Addresses

Primary practice location

300 Medical Ave
Ste 1
Andalusia, AL 36420

Mailing address

PO Box 218
300 Medical Ave Ste 1
Andalusia, AL 36420
Phone (334) 427-1022

Other providers in Andalusia, AL

All providers in Andalusia, AL · Orthopaedic Surgery Physician in Alabama

Sources for this page

Verify at the official NPI Registry.