| Provider / Organization | NPI | Date Certified |
|---|---|---|
| WAYNE C ANDERSON | 1912958414 | 2024-03-10 |
Wayne C Anderson MD [M] graduated in 2000 from University Of Alabama School Of Medicine and primarily specializes in Internal Medicine.
Wayne C Anderson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912958414. Registration indicates Wayne C Anderson is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| PECOS ID | 648214262 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Wayne C Anderson M.D. |
| Practice Office Address | 807 N MYRTLE AVE CLEARWATER, FL US |
| Practice Office Telephone | 7274672400 |
| Practice Office Fax | 7274672477 |
| Mailing Address | 807 N MYRTLE AVE CLEARWATER, FL 337554254 US |
| Business Telephone | 7274672400 |
| Business Fax | 7274672477 |
| Direct Messaging Address [] | [email protected] | Health Information Exchange (HIE) BayCare Medical Group, Inc. |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | ME87726
FL |
| P00359116 | OTHER | FL | RR MCARE |
| 272410300 | MEDICAID | FL |