TULLAHOMA LASER CENTER – NPI #1174576920
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
TULLAHOMA LASER CENTER is a provider located in TULLAHOMA, TN. NPPES has assigned the NPI number 1174576920 to TULLAHOMA LASER CENTER on May 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TULLAHOMA LASER CENTER” is a dba name, the actual legal business name for this organization is CHARLES E ANDERESON MD PC. 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 6 years ago on Aug 22, 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 TULLAHOMA LASER CENTER below.
NPI Profile for
CHARLES E ANDERESON MD PC
(more than 20 years ago)
TULLAHOMA, TN 37388 Phone: (931) 393-0600 Fax: (931) 393-0656
PRESIDENT
Phone: (931) 393-0600
Identifiers for TULLAHOMA LASER CENTER
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS OF TN | TN | 4009762 |
| OTHER | CIGNA HEALTH CARE | TN | 7240951 |
| MEDICAID | TN | 3197128 |
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) |
TN | MD14122 |
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.