Frank Kim Anderson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R9C94 Issued in MO

Practice address

5301 Veterans Memorial Parkway
Suite 101
St. Peters, MO 63376

Phone

(636) 441-2126

Fax

(636) 441-2028

NPI assigned

Oct 16, 2006

Last updated

Jul 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fka, Inc.

  • Dermatology Physician
  • Saint Peters, MO
  • NPI 1063578946
  Authorized official Same address or phone

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1780764852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VETERANS MEMORIAL PARKWAY",
            "address_2": "SUITE 101",
            "city": "ST. PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-441-2126",
            "fax_number": "636-441-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 VETERANS MEMORIAL PARKWAY",
            "address_2": "SUITE 101",
            "city": "ST. PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-441-2126",
            "fax_number": "636-441-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "FRANK",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "R9C94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202267407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa C Amelong, LPC
• American Homepatient, Inc.
• American Pain Institute, LLC
• Yalonda Amerson, FNP
• Erika Renee Anderson, P.A.
• Emily Andrews
• Angels on Call Homecare LLC
• Angelina Anisimova, DDS
• Sara Nicole Ankarstad, DPT
• Ryan Ansari, MD

• Dermatology Physician in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.