Active NPI
Philip A. Anderson, M.D.
- Internal Medicine Physician
- South Euclid, OH
National Provider Identifier
1700828738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35046859A
- Practice address
- 1611 S Green Rd
Suite 260
South Euclid, OH 44121-4128 - Phone
- (216) 291-1650
- Fax
- (216) 297-2119
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35046859A | OH | Primary |
Addresses
Primary practice location
1611 S Green Rd
Suite 260
South Euclid, OH 44121-4128
Mailing address
1611 S Green Rd
Suite 260
South Euclid, OH 44121-4128
Phone (216) 291-1650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35046859A | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Oberlin, OH
- NPI 1982727087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700828738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 S GREEN RD",
"address_2": "SUITE 260",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441214128",
"telephone_number": "216-291-1650",
"fax_number": "216-297-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 S GREEN RD",
"address_2": "SUITE 260",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441214128",
"telephone_number": "216-291-1650",
"fax_number": "216-297-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "PHILIP",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35046859A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.