Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2082S0105X | Plastic Hand Surgeon | 9600439 | NC |
N | 208200000X | Surgeon | 9600439 | NC |
N | 208600000X | Surgeon | 9600439 | NC |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 9600439 | NC |
NPI | 1295714327 |
---|---|
Provider Name | Dr. Damon Philip Anagnos |
First Address | Boone, NC 28607-5017 |
Second Address | Boone, NC 28607-5017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2006 |
Last Update Date | 12/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0262412002 | CIGNA (01) | NC |
11088 | BC/BS OF NC (01) | NC |
11088 | STATE HEALTH PLAN (01) | NC |
1300361 | UNITED HEALTHCARE (01) | NC |
510456858 | CHAMPUS/TRICARE (01) | NC |
510456858 | HEALTHCARE SAVINGS (01) | NC |
510456858 | PHCS (01) | NC |
8911088 | (05) | NC |
C5607 | MEDCOST (01) | NC |
G21632 | (02) | NC |
P00054841 | RAILROAD MEDICARE (01) | NC |