Active NPI
Cheryl Deboer Anderson, M.D.
- General Practice Physician
- Tampa, FL
National Provider Identifier
1740545581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 70250
- Practice address
- 3520 West Waters Ave
Tampa, FL 33614-2716 - Phone
- (813) 462-3100
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 59058 | MN | |
| General Practice Physician | 208D00000X | 70250 | GA | Primary |
Addresses
Primary practice location
3520 West Waters Ave
Tampa, FL 33614-2716
Mailing address
3520 W Waters Ave
Tampa, FL 33614-2716
Phone (813) 462-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70250 | GA | MD | General Practice Physician |
| 59058 | MN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1740545581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 W WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142716",
"telephone_number": "813-462-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 WEST WATERS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142716",
"telephone_number": "813-462-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CHERYL",
"middle_name": "DEBOER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MN",
"license": "59058",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "70250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.