Richard Anderson is a Surgery in Peoria, Illinois. Richard Anderson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Richard Anderson is 1699703892. The last update date is 2014-05-29.
Richard Anderson's current location address is 1001 Main Street, Peoria, Illinois. You can contact this provider via phone number 3094950200 and fax number 3096766545. The mailing address for Richard Anderson is 1001 Main Street, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Anderson |
|---|---|
| Address | 1001 Main Street, Peoria, Illinois |
| Phone Number | 3094950200 |
| Fax Number | 3096766545 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699703892 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2014-05-29 |
Provider Mailing Address Detail
| Address | 1001 Main Street |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616062037 |
| Phone Number | 3094950200 |
| Fax Number | 3096766545 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36095602 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036095602-1 | IL | -- | |
| 7215166 | IL | BLUE CROSS BLUE SHIELD | |
| 20046522 | IL | RR MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Richard Anderson by the Centers for Medicare & Medicaid Services?
The Richard Anderson has been issued the NPI (National Provider Identifier) 1699703892. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Richard Anderson?
The Richard Anderson is situated at 1001 Main Street, in the city of Peoria, state of IL, with the zip code 616062037.
What is the Richard Anderson's specialty and taxonomy code?
The Richard Anderson's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When was the Richard Anderson's 1699703892 issued?
The Richard Anderson's 1699703892 was issued on 2006-06-28.
When was the information regarding Richard Anderson most recently updated?
The details pertaining to the Richard Anderson, including its address, specialty, and other relevant information, were last refreshed on 2014-05-29.