DR. TERRY D ANDERSON

Address: 12300 Metcalf Ave, Anesthesia Dept, Overland Park, KS 66213-1324
Phone: 8163896030

DR. TERRY D ANDERSON (NPI# 1154379634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154379634
Entity Type 1 - Individual
Full Name DR. TERRY D ANDERSON
Credential DO
Practice Address 12300 Metcalf Ave
Anesthesia Dept
Overland Park
KS 66213-1324
Mailing Address 9233 Ward Pkwy
Suite 230
Kansas City
MO 64114-3366
Practice Telephone 8163896030
Practice Fax Number 8163896034
Enumeration Date 05/05/2006
Last Update Date 07/09/2007
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology 0525155 KS Allopathic & Osteopathic Physicians
N 207L00000X Anesthesiology 114453 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 249778606 05
KS 100176220G 05
KS BLUE CROSS BLUE SHIELD 24943042 01
KS RR MEDICARE NUMBER P00018699 01

Office Location

Street Address 12300 METCALF AVE
ANESTHESIA DEPT
City OVERLAND PARK
State KS
Zip Code 66213-1324

Providers with the same location

NPI Name Address
1245231158 DR. CHARLES L GERWICK 12300 Metcalf Ave, Overland Park, KS 66213-1324
1750382578 DR. SCOTT A HOLLRAH 12300 Metcalf Ave, Overland Park, KS 66213-1324
1679574354 DR. HARLOW D SCHMIDT 12300 Metcalf Ave, Overland Park, KS 66213-1324
1831190511 DR. THOMAS R KREAMER 12300 Metcalf Ave, Overland Park, KS 66213-1324
1548261340 DR. STEPHEN B. LUND 12300 Metcalf Ave, Overland Park, KS 66213-1324
1871594671 DR. ROBERT L. PROSSER 12300 Metcalf Ave, Overland Park, KS 66213-1324
1942201678 DR. LESTER E RICHARDSON 12300 Metcalf Ave, Overland Park, KS 66213-1324
1821099557 DR. DAVID S VODONICK 12300 Metcalf Ave, Overland Park, KS 66213-1324
1235130972 DR. KEVIN J KOCH 12300 Metcalf Ave, Overland Park, KS 66213-1324
1073514733 DR. MARTHA S FANNING 12300 Metcalf Ave, Overland Park, KS 66213-1324

Competitor

Search similar physicians

City OVERLAND PARK
Zip Code 66213

Improve Information

Please comment or provide details below to improve the information on .

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.