Charles B Anderson, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD16686 Issued in TN

Practice address

131 Tucker Street
Suite 5
Jackson, TN 38301

Phone

(931) 388-6404

Fax

(931) 388-7119

NPI assigned

Feb 17, 2006

Last updated

May 18, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1609840313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N CEDAR BLUFF RD",
            "address_2": "STE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233632",
            "telephone_number": "931-388-6404",
            "fax_number": "931-388-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 TUCKER STREET",
            "address_2": "SUITE 5",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301",
            "telephone_number": "931-388-6404",
            "fax_number": "931-388-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CHARLES",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "MD16686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchors in Bloom Counseling LLC
• Anderson Brace & Limb PLLC
• Alexandra Laine Anderson
• Anahita Anderson, FNP
• Brittany Zinelle Anderson
• Cynthia G Anderson, CRNA
• Edward J Anderson, CM
• Jonathan O Anderson, CRNA
• Keith Anderson Jr., MD
• Mary Elisabeth Neal Anderson, MD

• Anesthesiology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Anesthesiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.