Donald R Anderson, MD, FACC, FCCP, COL

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101246201 Issued in VA

Practice address

175 W Monroe Ste 266
Wytheville, VA 24382-2341

Phone

(202) 294-7948

NPI assigned

Oct 31, 2005

Last updated

Sep 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Wellmont Physician Services Inc

  • Internal Medicine Physician
  • Big Stone Gap, VA
  • NPI 1619095403

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1679564595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W MONROE ST STE 266",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822341",
            "telephone_number": "202-294-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W MONROE STE 266",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822341",
            "telephone_number": "202-294-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD, FACC, FCCP, COL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "39277",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101246201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679564595",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00638404C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Danielle Agee, LPC
• Michelle L Alley, RN
• Amedisys Home Health, Inc. of Virginia (Amedisys Home Health of Wytheville)
• Darrell E Anderson, HIS
• Dionis Kaatri Anderson, LCSW
• Sarah Elizabeth Anderson, OD
• Roger Lee Andrews Jr., LCSW
• Matthew Thomas Aney, M.D.
• Justin Tyme Archer, DDS
• Michael Ashby, LPC

• Cardiovascular Disease Physician in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.