STEPHEN D. ANDERSON M.D. – NPI #1508206913
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

STEPHEN ANDERSON is a physician located in JACKSON, MS. NPPES has assigned the NPI number 1508206913 to STEPHEN ANDERSON on June 28, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 6 years ago on Jan 02, 2020. 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 STEPHEN ANDERSON below.

NPI Profile for
STEPHEN D. ANDERSON

NPI Number
1508206913
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
STEPHEN D. ANDERSON
Credentials
M.D.
Primary location
501 MARSHALL ST STE 104
JACKSON, MS 39202-1663
Phone: (601) 969-6404 Fax: (601) 973-4541
1 Other location(s):
2500 N State St
Jackson, MS 39216
Phone: (601) 984-5601
Mailing address
PO BOX 2153 DEPT 1947
BIRMINGHAM, AL 35287-0001
Phone: (601) 969-6404 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 02, 2020

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.

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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 MS 24122

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.

Additional Information

Education
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE - Graduated 2013
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
STEPHEN ANDERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • BAPTIST MEDICAL CENTER-YAZOO
      823 GRAND AVENUE
      YAZOO CITY, MS 39194
    • COPIAH COUNTY MEDICAL CENTER
      21790 HIGHWAY 28
      HAZLEHURST, MS 39083
    • MISSISSIPPI BAPTIST MEDICAL CENTER
      1225 N STATE ST
      JACKSON, MS 39202
    • TYLER HOLMES MEMORIAL HOSPITAL CAH
      409 TYLER HOLMES DRIVE
      WINONA, MS 38967

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