MIKE L. ANDERSON M.D. – NPI #1629059423
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MIKE ANDERSON is a radiologist located in FORT CARSON, CO. NPPES has assigned the NPI number 1629059423 to MIKE ANDERSON on November 09, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Feb 19, 2025. 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 MIKE ANDERSON below.

NPI Profile for
MIKE L. ANDERSON

NPI Number
1629059423
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MIKE L. ANDERSON
Credentials
M.D.
Primary location
1650 COCHRANE CIR
FORT CARSON, CO 80913-4604
Phone: (719) 526-7979 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 19, 2025

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
WA MD 60071848

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.