Kenneth E. Anderson Jr. M.D. P.a.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

L6764 Issued in TX

Legal business name

KENNETH E. ANDERSON JR. M.D. P.A.

Practice address

500 E Peyton St
Sherman, TX 75090-0200

Phone

(903) 893-6000

Fax

(903) 868-1802

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth E Anderson Jr., M.D.NPI 1982679932

Title

President

Phone

(903) 893-6000

Specialties & licenses 1

Addresses

Other names 1

• New Horizons Pain Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Kenneth E Anderson Jr., MD

  • Pain Medicine Physician
  • Sherman, TX
  • NPI 1982679932
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Graxiola, FNP

  • Nurse Practitioner
  • Sherman, TX
  • NPI 1013434307
  Medicare reassignment Care Compare group
• Stacey Wheatley, FNP

  • Nurse Practitioner
  • Sherman, TX
  • NPI 1629519368
  Medicare reassignment NPD

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1821328451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E PEYTON ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750900200",
            "telephone_number": "903-893-6000",
            "fax_number": "903-868-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E PEYTON ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750900200",
            "telephone_number": "903-893-6000",
            "fax_number": "903-868-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E. ANDERSON JR. M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-893-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L6764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Pain Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles William Keenan, PH.D.
• Gennevesse Keiser
• Keith D. Lang M.a. LPC
• Rima Kellogg, M.A.
• Debbie Kennedy, LBSW
• Davie Michelle Kennington, OTA
• Ashley Nicole Kennon, RN
• Kenton P Schrank M D P a
• John Eliason Kenworthy, D.O.
• Roxanne Kepley, RN

• Anesthesiology Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.