Active NPI
Walter C. Anderson III, MD
- Dermatology Physician
- New Braunfels, TX
National Provider Identifier
1982607230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- F1341
- Practice address
- 901A Loop 337
New Braunfels, TX 78130-3556 - Phone
- (830) 625-1786
- NPI assigned
- May 31, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | F1341 | TX | Primary |
Addresses
Primary practice location
901A Loop 337
New Braunfels, TX 78130-3556
Mailing address
901A Loop 337
New Braunfels, TX 78130-3556
Phone (830) 625-1786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100618000671 | TX | Practitioner - Dermatology | 3476683392 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1341 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John H. Anderson, MD, P.a. | Dermatology | Current | Accepting new patients |
Locations
901 Loop 337
#A
New Braunfels, TX 78130
Phone (830) 625-1786
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1982607230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901A LOOP 337",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781303556",
"telephone_number": "830-625-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901A LOOP 337",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781303556",
"telephone_number": "830-625-1786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "WALTER",
"middle_name": "C.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "F1341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.