Active NPIIndividual providerSole proprietor

Dr. Connie S Anderson, DO

Family Medicine in Sarver, Pennsylvania

NPI Number1962485573
Practice location
706 Ekastown RD, Colonial Clinic, Sarver, PA 16055-9724
Fax
724-353-2040
Last updated
February 25, 2022

Connie S. Anderson is a Family Medicine based in Sarver, PA. Connie S. Anderson practices in Sarver, PA and has the professional credentials of DO. The NPI Number for Connie S. Anderson is 1962485573 and holds a License No. 290725 (NY). The current practice location address for Connie S. Anderson is 706 Ekastown RD, Colonial Clinic, Sarver, PA 16055-9724 and can be reached out via phone at 724-353-1508 and via fax at 724-353-2040.

Provider Profile Details

NPI Number
1962485573
Provider Name
Connie S. Anderson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
706 Ekastown RD, Colonial Clinic, Sarver, PA 16055-9724
Phone Number
724-353-1508
Fax Number
724-353-2040
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 29, 2005
Last Update Date
February 25, 2022
Certification Date
February 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
706 Ekastown RD
Colonial Clinic
Sarver, PA 16055-9724
City
Sarver
Zip
16055-9724
Phone Number
724-353-1508
Fax Number
724-353-2040
Sarver, PA 16055Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Lebanon, NH 03756-0001
City
Lebanon
State
NH
Zip
03756-0001
Phone Number
603-650-7901

License Information

License Number (1)
290725
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
22230
License State (2)
NH
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Dr. Connie S Anderson, DO?

The NPI number of Dr. Connie S Anderson, DO is 1962485573. It was assigned on November 29, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Connie S Anderson, DO?

Dr. Connie S Anderson, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 290725.

Where does Dr. Connie S Anderson, DO practice?

The practice location is 706 Ekastown RD, Colonial Clinic, Sarver, PA 16055-9724. The office can be reached at 724-353-1508 (phone) or 724-353-2040 (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 1962485573 directly on the NPPES registry website.

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