Thomas N Anderson, D. O.
Individual provider Active NPI Family Medicine Physician · Melbourne, FL
NPI 1730161548 · NPPES record last updated Feb 6, 2015
Key facts
- NPI
- 1730161548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS7892 (FL)
- Practice address
- 3040 N Wickham Rd
Suite 10
Melbourne, FL 32935-2369 - Phone
- (321) 428-4840
- Fax
- (321) 428-4841
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medical Associates of Brevard LLC
H2 Rehabilitation Services of Florida LLC
Practice addresses (Care Compare)
3040 N Wickham Rd
Suite 10
Melbourne, FL 32935-2369
Phone (321) 428-4840
3680 N Wickham Rd
Suite B
Melbourne, FL 32935-2327
Phone (321) 255-5500
Hospital & facility affiliations
- Viera Hospital
- Orlando Health Melbourne Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141106001345 | FL | Practitioner - Family Practice | 6305080060 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS7892 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Brevard LLC | Current |
Accepting new patients | |
| Oahu Home Care LLC | Past |
Accepting new patients |
Locations
1341 Medical Park Dr
Ste 101A
Melbourne, FL 32901
Phone (321) 733-2711
1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500
3040 N Wickham Rd
Ste 10
Melbourne, FL 32935
Phone (321) 428-4840
1380 South Patrick Dr
Ste 1
Satellite Beach, FL 32937
Phone (321) 773-2659
1380 South Patrick Dr
Satellite Beach, FL 32937
Phone (321) 313-0633
Interoperability endpoints
- thomasanderson@mab.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS7892 | FL | Yes |
Addresses
Primary practice location
3040 N Wickham Rd
Suite 10
Melbourne, FL 32935-2369
Mailing address
3040 N Wickham Rd
Suite 10
Melbourne, FL 32935-2369
Phone (321) 428-4840
Other providers in Melbourne, FL
- Corey Lee Anderson
- Elizabeth Jayne Anderson
- Julie Totterdale Anderson
- Lillian Anderson
- Lynn Marie Anderson
- Ursula K Anderson
- Wende J Anderson
- Patrick S Andre
- Carey K Andreoiu
- Andrew Langston DMD PLLC
All providers in Melbourne, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.