Keith C. Anderson, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

DO-250 Issued in AL

Legal business name

KEITH C. ANDERSON, D.O.

Practice address

201 Governors Drive
1St Floor
Huntsville, AL 35801-5123

Phone

(256) 539-4545

Fax

(256) 539-4990

NPI assigned

Dec 6, 2006

Last updated

Dec 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith Charles Anderson, D.O.NPI 1285618975

Title

Physician

Phone

(256) 539-4545

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith Charles Anderson, DO

  • Physical Medicine & Rehabilitation Physician
  • Huntsville, AL
  • NPI 1285618975
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1982763165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4799",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358154799",
            "telephone_number": "256-539-4545",
            "fax_number": "256-539-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNORS DRIVE",
            "address_2": "1ST FLOOR",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015123",
            "telephone_number": "256-539-4545",
            "fax_number": "256-539-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH C. ANDERSON, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-539-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "DO-250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RAILROAD",
            "identifier": "180012766",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8045502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "83822",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Keaton
• Nicholas Keaton
• Saige Michaela Keck
• Sheree Danay Keenum, MSN
• Meghan Keites, NP
• Keithley Family Medical Inc
• Judy J Keller, LCSW, PIP
• Jaron Kelley, DPT
• Whitley Vera Kelley, MS, CGC
• Kelley's Optical

• Physical Medicine & Rehabilitation Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Physical Medicine & Rehabilitation Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.