Anderson Physician Alliance, Inc
Organization Active NPI Urology Physician · Meridian, MS
NPI 1831497940 · NPPES record last updated Mar 14, 2011
Key facts
- NPI
- 1831497940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- ANDERSON PHYSICIAN ALLIANCE, INC
- Practice address
- 1302 20TH Ave
Meridian, MS 39301-4120 - Phone
- (601) 693-1055
- Fax
- (601) 482-5312
- NPI assigned
- Mar 14, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Anthony Rispoli
- Title
- Cfo
- Phone
- (601) 553-6118
Other NPIs on the same Medicare enrollment 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101102000877 | MS | Part B Supplier - Clinic/Group Practice | 3274727318 |
Receives reassigned benefits from 168 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Meridian, MS; Newton, MS; Philadelphia, MS; Quitman, MS; Collinsville, MS; De Kalb, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
1302 20TH Ave
Meridian, MS 39301-4120
Mailing address
1302 20TH Ave
Meridian, MS 39301-4120
Phone (601) 693-1055
Other names
- Urology Clinic of Meridian
Other providers in Meridian, MS
- Karlyna L. D. Andersen
- Anderson Anesthesia Providers
- Anderson Hospital Providers Inc
- Anderson Physician Alliance, Inc
- Anderson Physician Alliance, Inc
- Anderson Physician Alliance, Inc.
- Anderson Physician Alliance, Inc.
- Anderson Physician Alliance, Inc.
- Anderson Regional Medical Center
- Anderson Regional Medical Center
All providers in Meridian, MS · Urology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2011. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.