Stephen Daniel Anderson II, MD
Individual provider Active NPI Emergency Medicine Physician · Murfreesboro, TN
NPI 1770625972 · NPPES record last updated Jul 14, 2008
Key facts
- NPI
- 1770625972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- R1147 (KY)
- Practice address
- 400 North Highland Avenue
Middle Tennessee Medical Center
Murfreesboro, TN 37130 - Phone
- (502) 384-5009
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20080826000248 | TN | Practitioner - Emergency Medicine | 7810077682 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43510 | TN | MD | Pharmacist |
| R1147 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians' Urgent Care, PLLC | Current |
Accepting new patients | |
| Physicians' Urgent Care, PLLC | Current |
Accepting new patients | |
| Middle Tennessee Emergency Physicians PC | Emergency Medicine | Current |
Accepting new patients |
| Physicians in Emergency Medicine PSC | Emergency Medicine | Past | Accepting new patients |
Locations
700 Old Hickory Blvd
Ste 207
Brentwood, TN 37027
Phone (615) 457-3864
1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072
155 Covey Dr
Ste 100
Franklin, TN 37067
Phone (615) 472-1550
5021 Hughes Xing
Ste 165
Franklin, TN 37064
Phone (615) 794-8877
1080 N Ellington Pkwy
Lewisburg, TN 37091
Phone (615) 359-6241
1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544
5127 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 396-4100
1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100
4220 Harding Pike
Nashville, TN 37205
Phone (615) 222-2111
2000 Church St
Nashville, TN 37236
Phone (615) 284-4672
520 W Main St
Smithville, TN 37166
Phone (615) 215-5000
401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164
324 Doolittle Rd
Woodbury, TN 37190
Phone (615) 563-4001
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R1147 | KY | Yes |
| Emergency Medicine Physician | 207P00000X | 43510 | TN |
Addresses
Primary practice location
400 North Highland Avenue
Middle Tennessee Medical Center
Murfreesboro, TN 37130
Mailing address
One Vantage Way
Suite B-240 Middle Tennessee Emergency Physician PC
Nashville, TN 37228
Other providers in Murfreesboro, TN
- Nina Gabrielle Johnson Anderson
- Philip Anderson
- Ryan Anderson
- Sarah Rochelle Anderson
- Shelby Nicole Anderson
- Toni Anderson
- Whitney Lynn Anderton
- Andrew R. Flipse, DMD, PLLC
- Kathleen Grace Andrew
- Ethan Andrews
All providers in Murfreesboro, TN · Emergency Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2008. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.