Active NPI
Milton H Anderson III, M.D.
- Emergency Medicine Physician
- Austin, TX
National Provider Identifier
1912962713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- F0373
- Practice address
- 601 E 15TH St
Austin, TX 78701-1930 - Phone
- (512) 324-7000
- NPI assigned
- Apr 18, 2006
- Last updated
- May 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | F0373 | TX | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | F0373 | TX |
Addresses
Primary practice location
601 E 15TH St
Austin, TX 78701-1930
Mailing address
109 Wood TRL
Austin, TX 78746-5241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137634511 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0373 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Past | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba SEBD Professional Support Services
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
-
dba Ascension Seton Elgin Health Center
- Rural Health Clinic/Center
- Elgin, TX
- NPI 1437714987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1912962713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 WOOD TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787465241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 15TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011930",
"telephone_number": "512-324-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MILTON",
"middle_name": "H",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "F0373",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "F0373",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137634511",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.