NPIMap

Organization Active NPI

Anderson Medical Group

  • Specialist
  • Marietta, OH
National Provider Identifier
1710043583
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14185 Issued in WV
Legal business name
ANDERSON MEDICAL GROUP
Practice address
400 Matthew St
Ste 101
Marietta, OH 45750-1656
Phone
(304) 424-4841
Fax
(304) 424-4858
NPI assigned
Dec 28, 2006
Last updated
Jan 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Roger D Anderson, MDNPI 1689676264
Title
Doctor
Phone
(304) 424-4841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14185 WV Primary

Addresses

Primary practice location

400 Matthew St
Ste 101
Marietta, OH 45750-1656

Mailing address

600 18TH St
Suite 112
Parkersburg, WV 26101-3231
Phone (304) 424-4841

National Provider Directory

National Provider Directory

Locations

55 Hospital Dr
#O
Athens, OH 45701
Phone (740) 593-5551

1027 Lakeview Dr
Beverly, OH 45715
Phone (740) 984-8095

15708 State Route 78
Caldwell, OH 43724
Phone (740) 305-1303

101 Putnam St
Marietta, OH 45750
Phone (740) 236-1232

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

600 18th St
Ste 112
Parkersburg, WV 26101
Phone (304) 424-4841

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1710043583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 18TH ST",
            "address_2": "SUITE 112",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013231",
            "telephone_number": "304-424-4841",
            "fax_number": "304-424-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST",
            "address_2": "STE 101",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501656",
            "telephone_number": "304-424-4841",
            "fax_number": "304-424-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "304-424-4841",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "14185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.