Steven Blaine Anderson, MD
Individual provider Active NPI Family Medicine Physician · Lebanon, OR
NPI 1568045870 · NPPES record last updated Sep 19, 2024
Key facts
- NPI
- 1568045870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD220471 (OR)
- Practice address
- 425 N Santiam Hwy
Lebanon, OR 97355-4361 - Phone
- (541) 451-6960
- NPI assigned
- May 4, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 54
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mid-Valley Healthcare Inc
Practice addresses (Care Compare)
425 N Santiam Hwy
Lebanon, OR 97355-4361
Hospital & facility affiliations
- Signature Healthcare at Home
- Samaritan Lebanon Community Hospital
- Samaritan Albany General Hospital
- Good Samaritan Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240823003019 | OR | Practitioner - Family Practice | 8426597204 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-4324 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Valley Healthcare Inc | Current |
Accepting new patients | |
| Mid-Valley Healthcare, Inc. | Family Medicine | Current |
Accepting new patients |
| Mid-Valley Healthcare Inc | Current | Accepting new patients |
Locations
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
425 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6960
325 Park St
Lebanon, OR 97355
Phone (541) 451-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD220471 | OR | Yes |
| Family Medicine Physician | 207Q00000X | T-4324 | MS |
Addresses
Primary practice location
425 N Santiam Hwy
Lebanon, OR 97355-4361
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
300 S Washington Ave
Greenville, MS 38701-4719
Phone (662) 752-6261
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sanderson299565@samhealth.direct-ci.com |
Other providers in Lebanon, OR
- Victoria Grace Rodgers Allsup
- Carolina Del Socorro Amador
- Richard Howell Ames
- Alex Charles Anderson
- Olivia Shea Anderson
- Katherine Andrews
- Kim Andrews
- Lacee Andrews
- Animal Clinic
- Esther Jean Anstine
All providers in Lebanon, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.