Kathy L Anderson, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS 7994 Issued in FL

Practice address

510 Druid Rd E
Clearwater, FL 33756-3950

Phone

(727) 462-5242

Fax

(727) 462-5350

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL, ME2 enrollments

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 2

Specialty

Dermatology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camden Dermatology and Mohs Surgery LLCGroup PAC ID 9133481450, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles (2 of 4)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00039

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

• Camden Dermatology & Mohs Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Rockport, ME
  • NPI 1215440011

  Dermatology, ME

  Medicare reassignment Care Compare group NPD
• Bay Dermatology and Cosmetic Surgery P a

  • Dermatology Physician
  • Port Richey, FL
  • NPI 1437148996

  Dermatology, FL

  Medicare reassignment NPD
• Premier Dermatology, LLC

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1700202298

  FL

  Medicare reassignment

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1669423166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563950",
            "telephone_number": "727-462-5242",
            "fax_number": "727-462-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563950",
            "telephone_number": "727-462-5242",
            "fax_number": "727-462-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHY",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS 7994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifeoma Anagboso, MD
• Andres Alfredo Anais, PA
• Andean Geriatric Services LLC
• Brian L. Anderson, M. D.
• Courtney Anderson, SLP
• Nicholas Anderson, O.D.
• Sabrina Shakria Anderson, CEO
• Scott Alexander Anderson, ATC
• T'Keyah Jajuan Anderson, OTD
• Wayne C Anderson, M.D.

• All providers in Clearwater, FL
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.