NPIMap

Individual provider Active NPI

Robert M Anders, MD

  • Emergency Medicine Physician
  • Moncks Corner, SC
National Provider Identifier
1699700609
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22144 Issued in SC
Practice address
730 Stony Landing Rd
Moncks Corner, SC 29461
Phone
(843) 849-9339
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22144 SC Primary

Addresses

Primary practice location

730 Stony Landing Rd
Moncks Corner, SC 29461

Mailing address

730 Stoney Landing Rd
Moncks Corner, SC 29461-2948
Phone (800) 846-7707

Other identifiers 1

IdentifierTypeStateIssuer
221441MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040203000414 SC Practitioner - Emergency Medicine 8527951730 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broad River Physicians Group, LLCGroup PAC ID 8123385143, 70 clinicians

Practice addresses (Care Compare)

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901

Hospital & facility affiliations

  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22144SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roper St. Francis Mount Pleasant Hospital Emergency Medicine CurrentSince Sep 5, 2013 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Roper Hospital Inc Emergency Medicine Current Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Roper Hospital Inc Emergency Medicine CurrentSince Oct 1, 2003 Accepting new patients
Broad River Physicians Group, LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Sep 5, 2013 Accepting new patients
Roper Hospital Inc. CurrentSince Oct 1, 2003 Accepting new patients
East Cooper Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Roper Hospital, Inc. Past Accepting new patients
Lowcountry Medical Associates Past Accepting new patients
Lowcountry Medical Associates Emergency Medicine Past Accepting new patients

Locations

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

730 Stony Landing Rd
Moncks Corner, SC 29461
Phone (843) 572-9211

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

570 Long Point Rd
Ste 150
Mt Pleasant, SC 29464
Phone (843) 480-2273

7832 Rivers Ave
North Charleston, SC 29406
Phone (843) 824-8733

101 Sawmill Centre Dr
Summerville, SC 29483

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1699700609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 STONEY LANDING RD",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612948",
            "telephone_number": "800-846-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 STONY LANDING RD",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "843-849-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "22144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221441",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

Verify at the official NPI Registry.