GLEN F. ANDERSON MD – NPI #1124089677
Surgery

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

GLEN ANDERSON is a surgeon located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1124089677 to GLEN ANDERSON on March 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0120X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Pediatric Surgery

The NPI profile was previously updated about 14 years ago on Aug 08, 2012. 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 GLEN ANDERSON below.

NPI Profile for
GLEN F. ANDERSON

NPI Number
1124089677
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GLEN F. ANDERSON
Credentials
MD
Primary location
2530 CHICAGO AVE
#550
MINNEAPOLIS, MN 55404-4289
Phone: (612) 813-8000 Fax: (612) 813-8005
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for GLEN 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
MEDICAIDMN932303100
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
2086S0120X
- Surgery / Pediatric Surgery (Primary)
MN 26362

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.