Active NPI
Gary S. Anderson, P.A.
- Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA216
- Practice address
- 5255 Loughboro Rd NW
Washington, DC 20016-2695 - Phone
- (202) 537-4080
- Fax
- (202) 537-4588
- NPI assigned
- Dec 20, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA216 | DC | Primary |
Addresses
Primary practice location
5255 Loughboro Rd NW
Washington, DC 20016-2695
Mailing address
PO Box 65266
Charlotte, NC 28265-0266
Phone (800) 377-8721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, NY, PA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1011 Baltimore Blvd
Westminster, MD 21157-7055
Phone (410) 848-3990
10490 Owings Mills Blvd
Owings Mills, MD 21117-7814
Phone (410) 363-7281
1307 Merritt Blvd
Dundalk, MD 21222-2109
Phone (410) 288-2121
1354 Eastern Blvd
Expresscare of Essex
Essex, MD 21221-3423
Phone (443) 231-5203
1470 Martin Blvd
Middle River, MD 21220-4105
Phone (443) 231-5203
1505 E Churchville Rd
Bel Air, MD 21014-4742
1516 Stack St
Baltimore, MD 21230-4761
Phone (857) 575-5831
2327 Hanover Pike
Hampstead, MD 21074-1150
Phone (410) 848-3990
2401 E Belvedere Ave
Baltimore, MD 21215-5216
4009 N Point Blvd
105 Expresscare of North Point
Dundalk, MD 21222-3619
Phone (410) 477-1039
7700 Belair Rd
Baltimore, MD 21236-4004
Phone (410) 665-0670
7701 Harford Rd
Parkville, MD 21234-6403
Phone (410) 569-0069
8000 Loch Raven Blvd
Towson, MD 21286-8337
885 State Route 3 N
Expresscare of Gambrills
Gambrills, MD 21054-1620
Phone (443) 302-2297
9832 York Rd
Suite F
Cockeysville, MD 21030-4936
Phone (410) 628-1861
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| MNR Industries, LLC | Current | Accepting new patients | |
| East Harbor Partners, P.C. | Physician Assistant | Current | Accepting new patients |
| MNR Industries, LLC | Current | Accepting new patients | |
| Greater Washington Emergency Physicians Chartered | Past | Accepting new patients | |
| National Emergency Services District of Columbia Inc | Past | Accepting new patients | |
| National Emergency Services District of Columbia Inc | Past | Accepting new patients |
Locations
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
8600 Liberty Rd
Randallstown, MD 21133
Phone (410) 366-5600
8401 Mayland Dr
Ste S
Richmond, VA 23294
Phone (774) 473-8890
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1720879844
DC, MD, NY, PA, Physician Assistant, VA
-
dba ExpressCare of Mount Airy
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
dba ExpressCare of Eldersburg
- Urgent Care Clinic/Center
- Eldersburg, MD
- NPI 1568844678
-
- Urgent Care Clinic/Center
- Bel Air, MD
- NPI 1649089418
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1588655963
-
- Emergency Medicine Physician
- Washington, DC
- NPI 1598756975
-
- Specialist
- Fort Washington, MD
- NPI 1346389988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1720064918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65266",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282650266",
"telephone_number": "800-377-8721",
"fax_number": "304-523-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 LOUGHBORO RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162695",
"telephone_number": "202-537-4080",
"fax_number": "202-537-4588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "GARY",
"middle_name": "S.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.