Traci A Anderson in Indianapolis - Family Medicine
Traci A Anderson - NPI 1619911757
Traci A Anderson is a Family Medicine in Indianapolis, Indiana. Traci A Anderson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Traci A Anderson is 1619911757. The last update date is 2023-11-27.
Traci A Anderson's current location address is 6626 E. 75th Street, Indianapolis, Indiana. You can contact this provider via phone number 7652984569 and fax number 7652984568. The mailing address for Traci A Anderson is 6626 E. 75th Street, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci A Anderson |
|---|---|
| Address | 6626 E. 75th Street, Indianapolis, Indiana |
| Phone Number | 7652984569 |
| Fax Number | 7652984568 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1619911757 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 6626 E. 75th Street |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462502890 |
| Phone Number | 7652984569 |
| Fax Number | 7652984568 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 34008676 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00474998 | RAILROAD MEDICARE | ||
| P01018446 | IN | RR MEDICARE | |
| 527527 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Traci A Anderson by the Centers for Medicare & Medicaid Services?
The Traci A Anderson has been assigned the NPI (National Provider Identifier) 1619911757. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Traci A Anderson's physical address?
The Traci A Anderson is physically located at 6626 E. 75Th Street, in the city of Indianapolis, IN, with the postal code 462502890.
What is Traci A Anderson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Traci A Anderson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Traci A Anderson receive the assignment of its 1619911757 from the Centers for Medicare & Medicaid Services?
The Traci A Anderson was issued its 1619911757 by the Centers for Medicare & Medicaid Services on 2006-06-16.
When was the information pertaining to Traci A Anderson most recently updated or revised?
The details related to Traci A Anderson, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-27.