Anderson Medical Group, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ANDERSON MEDICAL GROUP, LLC

Practice address

6810 State Route 162
Suite 215
Maryville, IL 62062-8501

Phone

(618) 288-5711

Fax

(618) 288-4088

NPI assigned

Jul 22, 2006

Last updated

Aug 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Marshall

Title

Ceo

Phone

(618) 391-6402

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, AZ, MO, VA, GA, FL6 enrollments

Enrollment records 6

Locations (25 of 38)

Practitioners 170

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenon Abernathie, MD

  • Plastic Surgery Physician
  • Maryville, IL
  • NPI 1497916977
  Medicare reassignment Care Compare group NPD
• Katie Marie Albrecht, NP-C

  • Family Nurse Practitioner
  • Alton, IL
  • NPI 1528735149
  Medicare reassignment Care Compare group NPD
• Ayham Alkarmi, MD

  • Otolaryngology Physician
  • Edwardsville, IL
  • NPI 1194399139
  Medicare reassignment Care Compare group NPD
• Ann M. Altgilbers, APRN

  • Family Nurse Practitioner
  • Maryville, IL
  • NPI 1447638887
  Medicare reassignment Care Compare group NPD
• Peter J Anderson, MD

  • Orthopaedic Surgery Physician
  • Glen Carbon, IL
  • NPI 1548245848
  Medicare reassignment Care Compare group NPD
• Jason E Barnett, MD

  • Family Medicine Physician
  • Maryville, IL
  • NPI 1295728988
  Medicare reassignment Care Compare group NPD
• Abby Marie Beedy, PA-C

  • Medical Physician Assistant
  • Maryville, IL
  • NPI 1942497037
  Medicare reassignment Care Compare group NPD
• Kristina Lee Berg, DNP

  • Family Nurse Practitioner
  • Effingham, IL
  • NPI 1295280790
  Medicare reassignment Care Compare group NPD
• Laura Bird, M.D.

  • Family Medicine Physician
  • Alton, IL
  • NPI 1295720993
  Medicare reassignment Care Compare group NPD
• Danielle L. Bogue, FNP-BC

  • Family Nurse Practitioner
  • Highland, IL
  • NPI 1295062537
  Medicare reassignment Care Compare group NPD
• Tonya Ann Bosaw, NP

  • Family Nurse Practitioner
  • Maryville, IL
  • NPI 1821600693
  Medicare reassignment Care Compare group NPD
• Jayme Boyer, APRN

  • Family Nurse Practitioner
  • Maryville, IL
  • NPI 1730065723
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1700807716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 STATE ROUTE 162",
            "address_2": "SUITE 215",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628501",
            "telephone_number": "618-288-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 STATE ROUTE 162",
            "address_2": "SUITE 215",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628501",
            "telephone_number": "618-288-5711",
            "fax_number": "618-288-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-391-6402"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann M. Altgilbers, APRN
• Anderson Hospital
• Anderson Hospital
• Anderson Hospital
• Anderson Hospital
• Amanda Sue Anderson, ANP, FNP-BC
• Anna Marie Anderson, LCPC
• Albert G. Andrews, LCPC
• Ann LK Millikin, LCPC
• Louis Aquino, DPM

• General Practice Physician in Maryville, IL
• Providers in Maryville, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.