Eric Arthur Anderson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.60410145 Issued in WA

Practice address

47 Doc Perkes Rd
Afton, WY 83110-7703

Phone

(307) 885-3637

Fax

(307) 885-3638

NPI assigned

Aug 29, 2013

Last updated

Oct 14, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA, WY, TX3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prater Mountain Health ClinicGroup PAC ID 0648700807, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Premier Home Health Inc Home health agency, Thayne, WY, CCN 537304
• Star Valley Medical Center Hospital, Afton, WY, CCN 531313

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Prater Mountain Health Clinic

  • Multi-Specialty Clinic/Center
  • Thayne, WY
  • NPI 1982420311
  Medicare reassignment Care Compare group
• North Lincoln County Hospital District

  dba Star Valley Medical Center

  • Family Medicine Physician
  • Afton, WY
  • NPI 1730132523
  Medicare reassignment NPD
• Wind River Family & Community Healthc Care

  • Federal Public Health Clinic/Center
  • Arapahoe, WY
  • NPI 1285006379

  TX

  Medicare reassignment
• Express Care Wa PC

  • General Practice Physician
  • Lacey, WA
  • NPI 1821554452
  Medicare reassignment
• North Lincoln County Hospital District

  dba Star Valley Medical Center

  • Critical Access Hospital
  • Afton, WY
  • NPI 1255376406
  NPD
• Prater View Chiropractic, Inc.

  • Multi-Specialty Clinic/Center
  • Thayne, WY
  • NPI 1093902223
  NPD (past)
• Providence Health & Services - Washington

  dba Providence St. Peter Chemical Dependency Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Hoquiam, WA
  • NPI 1043374119
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Lincoln County Hospital District

  dba Star Valley Medical Center

  • Critical Access Hospital
  • Afton, WY
  • NPI 1255376406
  Care Compare affiliation
• Premier Home Health Inc

  • Case Management Agency
  • Thayne, WY
  • NPI 1902841000

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1801220454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015285",
            "telephone_number": "208-542-9111",
            "fax_number": "208-542-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 DOC PERKES RD",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831107703",
            "telephone_number": "307-885-3637",
            "fax_number": "307-885-3638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3475 N Saratoga St",
            "address_2": "Building 993",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982788800",
            "country_code": "US",
            "telephone_number": "360-257-9646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3475 N Saratoga St",
            "address_2": "Building 993",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982788800",
            "country_code": "US",
            "telephone_number": "360-257-9646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2761 Commercial Way",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829014753",
            "country_code": "US",
            "telephone_number": "307-382-3064",
            "fax_number": "307-382-3065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4008 W 27th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "99337",
            "country_code": "US",
            "telephone_number": "509-942-2355",
            "fax_number": "509-222-1289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1952 Harrison Drive",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "WY",
            "postal_code": "829308293",
            "country_code": "US",
            "telephone_number": "307-288-0404",
            "fax_number": "307-288-0281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ERIC",
        "middle_name": "ARTHUR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA.60410145",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60410145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "PT890",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Afton Family Pharmacy
• Alliance Home Health and Hospice of Wyoming, LLC
• Allred Performance and Rehabilitation LLC
• Steven Wayne Amann
• Valerie Merritt Anglesey
• Jamie Armstrong, SLP-CCC
• Whittney Nicole Ashton, RN
• Aspen Hills Dental LLC (Livingston Dental)
• Aspen Physical Therapy LLC

• Physician Assistant in Afton, WY
• Providers in Afton, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.