Kenneth E Anselmi MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

KENNETH E ANSELMI MD

Practice address

5433 Governor G C Peery Hwy
Doran, VA 24612

Phone

(276) 963-0895

Fax

(276) 963-5712

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth E Anselmi, MDNPI 1497843346

Title

Owner

Phone

(276) 963-0895

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Edward Anselmi, MD

  • Ophthalmology Physician
  • Raven, VA
  • NPI 1497843346

  Ophthalmology

  NPD (past) Authorized official
• Beth Lynne Morgan I, O.D.

  • Optometrist
  • Fort Defiance, AZ
  • NPI 1447460225
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801004593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 263",
            "city": "DORAN",
            "state": "VA",
            "postal_code": "24612",
            "telephone_number": "276-963-0895",
            "fax_number": "276-963-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 GOVERNOR G C PEERY HWY",
            "city": "DORAN",
            "state": "VA",
            "postal_code": "24612",
            "telephone_number": "276-963-0895",
            "fax_number": "276-963-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E ANSELMI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANSELMI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-963-0895",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6371108",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Hulse
• Precision Optical Inc
• Tyler Sargent, PHARMD
• Zaven Jabourian,M.D.,P.C.

• All providers in Doran, VA
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.