Kenneth E Anderson Jr., MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

L6764 Issued in TX

Practice address

500 E Peyton St
Sherman, TX 75090-0200

Phone

(903) 893-6000

Fax

(903) 868-1802

NPI assigned

Feb 22, 2006

Last updated

Oct 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Pain Management

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenneth E. Anderson Jr. M.D. P.a.Group PAC ID 8921149873, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHHCCD/Endpoint/FHHCCD

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.

• Kenneth E. Anderson Jr. M.D. P.a.

  dba New Horizons Pain Care Center

  • Anesthesiology Physician
  • Sherman, TX
  • NPI 1821328451

  Pain Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• New Horizons Advanced Wound Care LLC

  • General Practice Physician
  • Sherman, TX
  • NPI 1396505517
  Medicare reassignment NPD Authorized official
• Advanced Laboratory Services LLC

  • Clinical Medical Laboratory
  • Sherman, TX
  • NPI 1306213756
  NPD
• North Texas Anesthesiology,PLLC

  • Specialist
  • Denison, TX
  • NPI 1003920828
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1982679932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HOWE",
            "state": "TX",
            "postal_code": "754590837",
            "telephone_number": "903-893-6000",
            "fax_number": "903-868-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E PEYTON ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750900200",
            "telephone_number": "903-893-6000",
            "fax_number": "903-868-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L6764",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "L6764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200019230A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "8B1207",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0044ST",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161185701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Amys, PA-C
• Jon Allen Anders, O.D.
• Angela Anderson, RN, IBCLC
• Cassidy Lynn Anderson
• Dale Wayne Anderson, R.PH.
• Melinda L. Anderson, RN, BSN
• Ann Andraws Nagib Andraws, PHARM D
• Patti Andrews, LPC
• Loretta Anekwe-Anwuri, DMD
• Macey Sheela Angadicheril, CCC-SLP

• Pain Medicine Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.