Jesse Anderson is a Podiatrist in Suffolk, Virginia. Jesse Anderson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jesse Anderson is 1770583080. The last update date is 2023-03-07.
Jesse Anderson's current location address is 2401 Godwin Blvd Ste 1, Suffolk, Virginia. You can contact this provider via phone number 7576252962 and fax number 7576279861. The mailing address for Jesse Anderson is 2401 Godwin Blvd Ste 1, Suffolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Anderson |
|---|---|
| Address | 2401 Godwin Blvd Ste 1, Suffolk, Virginia |
| Phone Number | 7576252962 |
| Fax Number | 7576279861 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1770583080 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2401 Godwin Blvd Ste 1 |
|---|---|
| City | Suffolk |
| State | Virginia (VA) |
| Post Code | 234348178 |
| Phone Number | 7576252962 |
| Fax Number | 7576279861 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 103000709 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 62841 | VA | OPTIMA | |
| 282441 | VA | ANTHEM | |
| 103000709 | VA | LIC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jesse Anderson?
The Jesse Anderson has been issued the NPI (National Provider Identifier) 1770583080 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jesse Anderson?
The Jesse Anderson is physically situated at 2401 Godwin Blvd Ste 1, in the city of Suffolk, state of VA, with the postal code 234348178.
What is Jesse Anderson's area of expertise and its corresponding taxonomy classification?
The Jesse Anderson's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jesse Anderson receive its 1770583080 assignment from the Centers for Medicare & Medicaid Services?
The Jesse Anderson was assigned its 1770583080 by the Centers for Medicare & Medicaid Services on 2005-07-28.
As of what date was the information regarding Jesse Anderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jesse Anderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.