John M. Andersen M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD039149E Issued in PA

Legal business name

JOHN M. ANDERSEN M.D.

Practice address

933 N Charlotte St
Suite 3-a
Pottstown, PA 19464-3974

Phone

(610) 323-9052

Fax

(610) 323-3085

NPI assigned

Jul 13, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Leanne Andersen

Title

Office Manager

Phone

(610) 718-0165

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• John Martin Andersen, MD

  • Family Medicine Physician
  • Potts, PA
  • NPI 1891801981
  NPD (past)

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1932497807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 N CHARLOTTE ST",
            "address_2": "SUITE 3-A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643974",
            "telephone_number": "610-323-9052",
            "fax_number": "610-323-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N CHARLOTTE ST",
            "address_2": "SUITE 3-A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643974",
            "telephone_number": "610-323-9052",
            "fax_number": "610-323-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. ANDERSEN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-718-0165",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039149E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011067390001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Yablon MD PC
• Shari A Jenkins
• Tamika Jeter, M.D.
• Jenniffer Jimenez
• Josh Jimenez
• Aleigha Johnson
• Carrie Elizabeth Johnson
• Charles W Johnson, PT, DPT
• Christopher Neal Johnson, DC
• James Charles Johnson, O.D.

• Family Medicine Physician in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.