John R Anderson, M.D.
Orthopaedic Surgery in San Antonio, TX. Individual provider (NPI-1).
NPI number1124296512
StatusActive
Last updated in NPPESFeb 19, 2008
Details
- NPI
- 1124296512
- Entity type
- Individual (NPI-1)
- Name
- Mr. John R Anderson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2008
- Last updated
- Feb 19, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORTHOPEDIC SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | d5897 | TX | Yes |
Practice location
4100 Piedras Dr E Ste 116San Antonio, TX 78228-1425
Phone 210-615-0500
Mailing address
511 Kreutzberg RdBoerne, TX 78006-7819
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