David S Anderson MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0000011770 Issued in TN

Legal business name

DAVID S ANDERSON MD INC

Practice address

1860 Executive Park
Suite B
Cleveland, TN 37312-2756

Phone

(423) 476-7584

Fax

(423) 476-7586

NPI assigned

Aug 15, 2006

Last updated

Feb 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Scott Anderson, MD

Title

Owner

Phone

(423) 476-7584

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1528071974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 EXECUTIVE PARK",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122756",
            "telephone_number": "423-476-7584",
            "fax_number": "423-476-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EXECUTIVE PARK",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122756",
            "telephone_number": "423-476-7584",
            "fax_number": "423-476-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S ANDERSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-476-7584",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000011770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0043803",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110011398",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3720585",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna S Dau
• Elizabeth Daubner, MD
• Michael Alan Daubner, M.D.
• Carter Davenport
• David McCoy DDS PC
• Madison Leigh David, RDH, BSDH
• Amanda Brooke Davis
• Aundrea Davis, COTA/L
• Breonna Davis
• Ethan Lane Davis

• Internal Medicine Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.