Analise Thomas Anderson – Plastic Surgery Physician

Key facts

NPI: 1669890307
Entity type: Individual (NPI type 1)
Primary specialty: Plastic Surgery Physician 208200000X
License: MD.40990 (AL)
Practice address: 240 Summit Blvd Ste 200
Vestavia, AL 35243-3101
Phone: (659) 599-7426
NPI assigned: Mar 31, 2014
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Al Cohn, MD PC Plastic Surgery Physician · Birmingham, AL · NPI 1245519875

Medicare reassignment NPD AL · PLASTIC SURGERY
University of Alabama Health Services Foundation, PC. Multi-Specialty Clinic/Center · Birmingham, AL · NPI 1093768723

Medicare reassignment NPD AL

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL
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
I20200819003768	AL	Practitioner - Plastic and Reconstructive Surgery	5193141273	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD.40990	AL	MD	Plastic Surgery Physician

Practice roles

Organization	Specialty	Status	New patients
University of Alabama Health Services Foundation, PC.		Current since Jul 14, 2020	Accepting new patients
Al Cohn, MD PC	Plastic Surgery	Current since Sep 1, 2021	Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1 Inverness Center Pkwy
#10
Hoover, AL 35242
Phone (205) 999-6162

1 Inverness Center Pkwy
Ste 100
Hoover, AL 35242
Phone (205) 930-1600

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Plastic Surgery Physician	208200000X	MD.40990	AL	Yes

Addresses

Primary practice location

240 Summit Blvd Ste 200
Vestavia, AL 35243-3101

Mailing address

1513 Pumphouse CT
Vestavia, AL 35243-6000
Phone (214) 578-7809

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 27, 2023.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669890307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 PUMPHOUSE CT",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352436000",
            "telephone_number": "214-578-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SUMMIT BLVD STE 200",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352433101",
            "telephone_number": "659-599-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ANALISE",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "MD.40990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

All providers in Vestavia, AL · Plastic Surgery Physician in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. 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.

Verify at the official NPI Registry.