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C JAMES ANDERSON DPM LLC NPI 1659631398


NPI Information

NPI: 1659631398
Provider Name: C JAMES ANDERSON DPM LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4600 MEMORIAL DR
SUITE 300
BELLEVILLE, IL
ZIP 62226
Phone: (618) 277-9533
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C JAMES ANDERSON DPM LLC is a podiatrist in Belleville, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. C JAMES ANDERSON DPM LLC NPI is 1659631398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4600 MEMORIAL DR
SUITE 300
BELLEVILLE, IL
ZIP 62226-368
Phone: (618) 277-9533
Fax: (618) 277-9540

The provider's authorized official is Christopher James Anderson .
The authorized official title is Owner and has the following contact phone number (314) 956-9187.

The enumeration date for this NPI number is 5/28/2012 and was last updated on 4/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist016.005443ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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