Active NPIIndividual provider

Derek N Anderson, MD

Family Medicine in Peterborough, New Hampshire

NPI Number1255491635
Practice location
454 Old Street RD Ste 207, Peterborough, NH 03458-1253
Fax
603-924-8653
Last updated
December 1, 2020

Derek Nathan Anderson is a Family Medicine based in Peterborough, NH. Derek Nathan Anderson practices in Peterborough, NH and has the professional credentials of MD. The NPI Number for Derek Nathan Anderson is 1255491635 and holds a License No. MD169675 (OR). The current practice location address for Derek Nathan Anderson is 454 Old Street RD Ste 207, Peterborough, NH 03458-1253 and can be reached out via phone at 603-924-4664 and via fax at 603-924-8653.

Provider Profile Details

NPI Number
1255491635
Provider Name
Derek Nathan Anderson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
454 Old Street RD Ste 207, Peterborough, NH 03458-1253
Phone Number
603-924-4664
Fax Number
603-924-8653
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
December 8, 2006
Last Update Date
December 1, 2020
Certification Date
November 24, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
454 Old Street RD Ste 207
Peterborough, NH 03458-1253
Zip
03458-1253
Phone Number
603-924-4664
Fax Number
603-924-8653
Peterborough, NH 03458Get directions →

Provider Business Mailing Address Details

Address
454 Old Street RD Ste 207
Peterborough, NH 03458-1200
City
Peterborough
State
NH
Zip
03458-1200
Phone Number
603-924-4664
Fax Number
603-924-8653

License Information

License Number (1)
MD169675
License State (1)
OR
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
36375
License State (2)
IA
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
20947
License State (3)
NH
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine providers near Peterborough, NH

View all Family Medicine providers in Peterborough →

Frequently Asked Questions

What is the NPI number of Derek N Anderson, MD?

The NPI number of Derek N Anderson, MD is 1255491635. It was assigned on December 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Derek N Anderson, MD?

Derek N Anderson, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in OR under license number MD169675.

Where does Derek N Anderson, MD practice?

The practice location is 454 Old Street RD Ste 207, Peterborough, NH 03458-1253. The office can be reached at 603-924-4664 (phone) or 603-924-8653 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255491635 directly on the NPPES registry website.

Browse related providers