Grant Peter Anderson, M.D.
Individual provider Active NPI Family Medicine Physician · Reno, NV
NPI 1629029889 · NPPES record last updated Jun 18, 2018
Key facts
- NPI
- 1629029889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3156 (NV)
- Practice address
- 5345 Reno Corporate Dr
Reno, NV 89511 - Phone
- (775) 825-5008
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- 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 |
|---|---|---|---|---|
| I20051114000493 | NV | Practitioner - Family Practice |
3173542719 | Practice locations: Reno, NV |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C N Held MD LTD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3156 | NV | Yes |
Addresses
Primary practice location
5345 Reno Corporate Dr
Reno, NV 89511
Mailing address
1665 Aspen Creek Rd
Reno, NV 89519-0685
Phone (775) 846-3301
Other practice location 1
1665 Aspen Creek Rd
Reno, NV 89519-0685
Phone (775) 846-3301
Other providers in Reno, NV
- David Anderson
- Emili Anderson
- Erin Anderson
- Erin K Anderson
- Fiana Anderson
- Jamaica Anderson
- Jamilla Anderson
- Jennifer Anderson
- Jessica Anne Anderson
- Jill M Anderson
All providers in Reno, NV · Family Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2018. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.