Daniel R Anderson MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01034968 Issued in IN

Legal business name

DANIEL R ANDERSON MD PC

Practice address

1101 N Jim Day Rd
Suite 107a
Salem, IN 47167-5200

Phone

(812) 883-5501

Fax

(812) 883-5513

NPI assigned

Oct 30, 2007

Last updated

Mar 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Ray Anderson, MDNPI 1245294636

Title

MD

Phone

(812) 883-5501

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel R Anderson, MD

  • Internal Medicine Physician
  • Salem, IN
  • NPI 1245294636
  Authorized official Same address or phone

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1871772509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N JIM DAY RD",
            "address_2": "SUITE 107A",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471675200",
            "telephone_number": "812-883-5501",
            "fax_number": "812-883-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N JIM DAY RD",
            "address_2": "SUITE 107A",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471675200",
            "telephone_number": "812-883-5501",
            "fax_number": "812-883-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R ANDERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "812-883-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01034968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Salem, IN
• Providers in Salem, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.