Individual provider Active NPI

Stanley A Anderson II, RPA

  • Physician Assistant
  • Norwich, NY
National Provider Identifier
1972636306
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
010618 Issued in NY
Practice address
157 E Main St
Norwich, NY 13815-1521
Phone
(607) 336-2400
Fax
(607) 334-5618
NPI assigned
Mar 14, 2007
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010618 NY Primary

Addresses

Primary practice location

157 E Main St
Norwich, NY 13815-1521

Mailing address

6 Franklin Rd
Walton, NY 13856-1214
Phone (607) 865-5804

Other practice location 1

75 Pennsylvania Ave
Binghamton, NY 13903-1608
Phone (607) 201-1100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040521001150 NY Practitioner - Physician Assistant 4284625724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

2500 Western Ave
Altamont, NY 12009-9485
Phone (518) 690-0177

2508 Western Ave
Altamont, NY 12009-9485
Phone (518) 690-0177

6 Country Club Rd
Oneonta, NY 13820-1005
Phone (212) 283-3000

75 Pennsylvania Ave
Binghamton, NY 13903-1608
Phone (212) 283-3000

950 County Rd
64 Suite 100
Elmira, NY 14903-9711
Phone (212) 283-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
010618NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph M Newmark MD PC PastSince Sep 4, 2007 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: stanley.anderson@schweigerderm.emadirect.md

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1972636306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FRANKLIN RD",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561214",
            "telephone_number": "607-865-5804",
            "fax_number": "607-510-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E MAIN ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151521",
            "telephone_number": "607-336-2400",
            "fax_number": "607-334-5618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Binghamton",
            "state": "NY",
            "postal_code": "139031608",
            "country_code": "US",
            "telephone_number": "607-201-1100",
            "fax_number": "607-201-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STANLEY",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

Verify at the official NPI Registry.