Dr. Rodney J Anderson
Family Doctor - Adult Medicine
1300 N Pennsylvania St Suite 200
Indianapolis
, Indiana 46202-4453
Dr. Rodney J Anderson
Family Doctor - Adult Medicine
1300 N Pennsylvania St Suite 200
Indianapolis
, Indiana 46202-4453
(317) 968-0402
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Rodney J Anderson
- 1300 N Pennsylvania St Suite 200
- Indianapolis, IN
- Zip : 46202-4453
- Fax : (317) 968-0402
- Phone : (317) 968-0409
Second Address
- Dr. Rodney J Anderson
- 1300 N Pennsylvania St Suite 200
- Indianapolis, IN
- Zip : 46202-4453
- Fax : (317) 968-0402
- Phone : (317) 968-0409
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 02000697A | IN |
National Provider Identifier
| NPI | 1275511586 |
|---|---|
| Provider Name | Dr. Rodney J Anderson |
| First Address | Indianapolis, IN 46202-4453 |
| Second Address | Indianapolis, IN 46202-4453 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/01/2006 |
| Last Update Date | 12/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000387137 | ANTHEM BLUE CROSS AND BLU (01) | IN |
| 000000387137 | ICHIA (01) | IN |
| 200260200 B | (05) | IN |
| 203669845 | FEDERAL TAX ID (01) | IN |
| 7402585 | AETNA (01) | IN |
| C24409 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.