GREGORY S. ANDERSON D.O – NPI #1033140561
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

GREGORY ANDERSON is a physician located in RED LAKE, MN. NPPES has assigned the NPI number 1033140561 to GREGORY ANDERSON on July 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 18 years ago on Feb 21, 2008. 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 GREGORY ANDERSON below.

NPI Profile for
GREGORY S. ANDERSON

NPI Number
1033140561
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GREGORY S. ANDERSON
Credentials
D.O
Primary location
HWY 1 HOSPITAL DRIVE
BOX 497
RED LAKE, MN 56671-0497
Phone: (218) 679-3912 Fax: (218) 679-0181
Mailing address
PO BOX 497
REDLAKE, MN 56671-0497
Phone: (218) 679-3912 Fax: (218) 679-0181
Sole Proprietor
No
Updated
Identifiers

Identifiers for GREGORY 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
OTHERBC/BS OF MNMN34G00AN
MEDICAIDMN476753500
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
208D00000X
- General Practice (Primary)
MN 32831

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.