Active NPI
Anderon Neuordiagnotstics PC
- Clinical Neurophysiology Physician
- Rochester, MI
National Provider Identifier
1982865648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- 4301068843
- Legal business name
- ANDERON NEUORDIAGNOTSTICS PC
- Practice address
- 1135 W University Dr
Suite 410
Rochester, MI 48307-1871 - Phone
- (248) 656-0011
- NPI assigned
- Jun 24, 2008
- Last updated
- Jun 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Anderson, M.D.
- Title
- Owner
- Phone
- (248) 656-0011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | 4301068843 | MI | Primary |
Addresses
Primary practice location
1135 W University Dr
Suite 410
Rochester, MI 48307-1871
Mailing address
1135 W University Dr
Suite 410
Rochester, MI 48307-1871
Phone (248) 656-0011
National Provider Directory
National Provider DirectoryLocations
1135 W University Dr
Ste 410
Rochester, MI 48307
Phone (248) 652-7400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1982865648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 W UNIVERSITY DR",
"address_2": "SUITE 410",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071871",
"telephone_number": "248-656-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 W UNIVERSITY DR",
"address_2": "SUITE 410",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071871",
"telephone_number": "248-656-0011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDERON NEUORDIAGNOTSTICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-24",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-656-0011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "MI",
"license": "4301068843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.