ROBERT J. ANDERSON MD – NPI #1477559938
Family Medicine

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 is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

ROBERT ANDERSON is a physician located in GREEN BAY, WI. NPPES has assigned the NPI number 1477559938 to ROBERT ANDERSON on June 21, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 6 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Oct 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT ANDERSON below.

NPI Profile for
ROBERT J. ANDERSON

NPI Number
1477559938
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ROBERT J. ANDERSON
Credentials
MD
Primary location
2502 S ASHLAND AVE
GREEN BAY, WI 54304-5252
Phone: (920) 496-4700 Fax:
6 Other location(s):
831 Parker St
Algoma, WI 54201-0185
Phone: (920) 487-3676
1630 Commanche Ave
Green Bay, WI 54313-5753
Phone: (920) 433-6000
Fax: (920) 430-4719
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone: (920) 433-6700
Fax: (920) 433-6719
575 4th St
Kewaunee, WI 54216-1785
Phone: (920) 388-4640
Fax: (920) 388-0479
140B School Creek Trl
Luxemburg, WI 54217-1095
Phone: (920) 845-1370
Fax: (920) 845-1379
3415 Custer St
Manitowoc, WI 54220-4324
Phone: (920) 652-9310
Fax: (920) 652-9316
Mailing address
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone: (920) 496-4700 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ROBERT ANDERSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI34238600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 WI 37942

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
2502 S ASHLAND AVE,
GREEN BAY, WI 77025-1669

Additional Information

Education
MEDICAL COLLEGE OF WISCONSIN - Graduated 1995
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ROBERT ANDERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • BELLIN MEMORIAL HOSPITAL
      744 S WEBSTER AVE
      GREEN BAY, WI 54305
    • DOOR COUNTY MEDICAL CENTER
      323 SOUTH 18TH AVENUE
      STURGEON BAY, WI 54235
    • ST VINCENT HOSPITAL
      835 S VAN BUREN ST
      GREEN BAY, WI 54301
  • HOME HEALTH AGENCY
    • ASCENSION AT HOME
      231A KEEL CT
      STURGEON BAY, WI 54235

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.