Individual provider Active NPI

Erik Richard Henning Ander, MD, MA

  • Student in an Organized Health Care Education/Training Program
  • Chapel Hill, NC
National Provider Identifier
1730878232
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RTL23-0132 Issued in NC
Practice address
101 Manning Drive Chapel Hill 4061 Burnett-Womack BLDG
Chapel Hill, NC 27599-0001
Phone
(919) 966-4653
Fax
(919) 966-8440
NPI assigned
May 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ANDE-SDO4FL NC
Student in an Organized Health Care Education/Training Program 390200000X RTL23-0132 NC Primary

Addresses

Primary practice location

101 Manning Drive Chapel Hill 4061 Burnett-Womack BLDG
Chapel Hill, NC 27599-0001

Mailing address

101 Manning Drive Chapel Hill 4061 Burnett-Womack BLDG
Chapel Hill, NC 27599-0001
Phone (919) 966-4653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524003494 NC Order and Referring Only - General SurgeryPractitioner - General Surgery 7315303815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ANDE-SDO4FLNCMDStudent in an Organized Health Care Education/Training Program
RTL23-0132NCMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: eander1037693@direct.unc.nchie.net
  • Direct secure messaging: eander462861@directhisp.wakemed.org

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1730878232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DRIVE CHAPEL HILL 4061 BURNETT-WOMACK BLDG",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-4653",
            "fax_number": "919-966-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DRIVE CHAPEL HILL 4061 BURNETT-WOMACK BLDG",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-4653",
            "fax_number": "919-966-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDER",
        "first_name": "ERIK",
        "middle_name": "RICHARD HENNING",
        "credential": "MD, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "ANDE-SDO4FL",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "RTL23-0132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.