NPI 1962661488 · live from the CMS NPI Registry
David Michael Anderson, MD
Preventive Medicine, Addiction Medicine in Louisville, KY. National Provider Identifier 1962661488, active.
NPI record
| NPI | 1962661488 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Preventive Medicine, Addiction Medicine 2083A0300X |
| Practice location | 9702 Stonestreet Rd Ste 120, Louisville, KY 40272 |
| Practice phone | 866-934-7450 |
| Mailing address | 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212 |
| Enumerated | June 9, 2008 |
| Last updated | April 12, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Pain Medicine | 207LP2900X | 46107 (KY) |
| General Practice | 208D00000X | 46107 (KY) |
| 208VP0000X | 46107 (KY) | |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | 01072910A (IN) |
| Preventive Medicine, Addiction Medicine primary | 2083A0300X | 46107 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.