Individual provider Active NPI

Gary S. Anderson, P.A.

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1720064918
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA216 Issued in DC
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

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040804000442 DC Practitioner - Physician Assistant 0143291021 Reassigns benefits to 2 organizations
I20050217000872 MD Practitioner - Physician Assistant 0143291021 Reassigns benefits to 2 organizations
I20260205002386 NY Practitioner - Physician Assistant 0143291021 Reassigns benefits to 1 organization
I20260205002445 PA Practitioner - Physician Assistant 0143291021 Reassigns benefits to 1 organization
I20260207000274 VA Practitioner - Physician Assistant 0143291021 Reassigns benefits to 1 organization

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
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians
East Harbor Partners PCGroup PAC ID 7810405966, 12 clinicians

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

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Mar 29, 2017 Accepting new patients
MNR Industries, LLC CurrentSince Mar 5, 2016 Accepting new patients
East Harbor Partners, P.C. Physician Assistant CurrentSince Oct 24, 2025 Accepting new patients
MNR Industries, LLC CurrentSince Mar 5, 2016 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.

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

Verify at the official NPI Registry.