James Anderson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004931-1 Issued in NY

Practice address

318 Ruhle Rd S
Ballston Lake, NY 12019-1030

Phone

(518) 899-4133

Fax

(518) 899-5764

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hudson Mohawk Pediatric & Adolescent Medicine

  • Specialist
  • Ballston Lake, NY
  • NPI 1306950563
  NPD (past)
• Hudson Mohawk Pediatrics

  • Children's Hospital
  • Ballston Lake, NY
  • NPI 1225393986
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932314218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 RUHLE RD S",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "12019",
            "telephone_number": "518-899-4133",
            "fax_number": "518-899-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 RUHLE RD S",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191030",
            "telephone_number": "518-899-4133",
            "fax_number": "518-899-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004931-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Agne
• Victoria Allers, ATC
• Teilah Alvis
• Catherine Anderson-Hanley, PHD
• Cohan B Anderson
• Shannon Joette Andrews, MSED
• Gina Marie Angilletta, LMHC
• Deborah R Armstrong, LCSW
• Susan Bard Aussicker
• Back Again Chiropractic, PLLC

• Physician Assistant in Ballston Lake, NY
• Providers in Ballston Lake, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.