Corrie Anderson
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Seattle, WA
NPI 1609957950 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609957950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- MD00039989 (WA)
- Practice address
- 4800 Sand Point Way NE
Seattle, WA 98105-3901 - Phone
- (206) 987-2000
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Stanford University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Association of Chrmc and University Physicians
Practice addresses (Care Compare)
4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 526-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20100330001380 | WA | Practitioner - Anesthesiology | 3678609500 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00039989 | WA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of Chrmc and University Physicians | Current |
Accepting new patients | |
| Association of CHMC and University Physicians | Current |
Accepting new patients | |
| The Association of University Physicians | Current |
Accepting new patients |
Locations
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
4500 Sand Point Way NE
Ste 100
Seattle, WA 98105
Phone (206) 987-8450
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
Interoperability endpoints
- canderson6910@direct.seattlechildrens.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MD00039989 | WA | Yes |
Addresses
Primary practice location
4800 Sand Point Way NE
Seattle, WA 98105-3901
Mailing address
4500 Sand Point Way NE
#100
Seattle, WA 98105-3900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278690 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
| 8279010 | Medicaid | WA |
Other providers in Seattle, WA
- Carl B Anderson
- Carolyn Rachel Anderson
- Catherine Anderson
- Catherine Patricia Anderson
- Claire J Anderson
- Craig Jon Anderson
- Dean Emery Anderson
- Deborah A Anderson
- Demi N Anderson
- Dennis Rolland Anderson
All providers in Seattle, WA · Pain Medicine (Anesthesiology) Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.