Eric Wayne Anderson, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036.164924 Issued in IL

Practice address

330 W Frontage Rd
Northfield, IL 60093-3467

Phone

(847) 441-4441

NPI assigned

Mar 26, 2015

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Transformations Clinical Entity Florida Illinois and Ohio SC

  dba Transformations Plastic Surgery

  • Plastic Surgery Physician
  • Rockford, IL
  • NPI 1093152118
  Medicare reassignment NPD

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1609260660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W FRONTAGE RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933467",
            "telephone_number": "847-441-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W FRONTAGE RD",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933467",
            "telephone_number": "847-441-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ERIC",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036.164924",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "11725384-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Allemand, MPT
• Allium Counseling PC
• Max John Anthony Alvizu
• Amanda Labonar LCPC PLLC
• Ambay Health Network
• Jordan Allen Anderson, MS, ATC
• Mary Angelopoulos, D.O.
• Lauren E Anker, PSYD
• Anthony J. Geroulis, MD., S.C (N Shore Cntr Facial Plastic & Cosmetic Surg.)
• Robert J. Auger, LMFT

• Plastic Surgery Physician in Northfield, IL
• Providers in Northfield, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.