1. Home
  2. Directory
  3. Minnesota
  4. White Bear Lake
  5. Clinic Center
  6. NPI Profile

MATTHEW ANDERSON, M.D. OBSTETRICS AND GYNECOLOGY, P.A.
NPI 1063865772
Clinic/Center in White Bear Lake, MN

Active since July 18, 2016
4465 WHITE BEAR PKWY, SUITE 2, WHITE BEAR LAKE, MN 55110(651) 653-0062(651) 653-0288 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Anderson, M.d. Obstetrics And Gynecology, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW ANDERSON, M.D. OBSTETRICS AND GYNECOLOGY, P.A. (NPI 1063865772) is a healthcare organization registered as a clinic/center in White Bear Lake, Minnesota and active in the NPI registry since July 2016. The organization lists Matthew W Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1063865772
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMATTHEW ANDERSON, M.D. OBSTETRICS AND GYNECOLOGY, P.A.
Location Address4465 WHITE BEAR PKWY, SUITE 2White Bear Lake, MN 55110-7623
Mailing Address4465 White Bear Pkwy, Suite 2White Bear Lake, MN 55110-7623 · (651) 653-0062 · Fax (651) 653-0288
Phone(651) 653-0062
Fax(651) 653-0288
Organization SubpartNo
Authorized OfficialMatthew W AndersonPresident · (651) 653-0062
Enumeration DateJuly 18, 2016
✔ NPI 1063865772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MN · 46328
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4465 WHITE BEAR PKWY, White Bear Lake, MN 55110
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA L SHUPE PT
Physical Therapist
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 653-1350
ELIZABETH JEAN NORDIN MD
Obstetrics & Gynecology
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 653-0062
GROVES PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 209-6144
AALFA FAMILY PRACTICE PA
Internal Medicine
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 653-0062
MRS. SARAH SLATTERY PA-C
Physician Assistant
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 653-0062
GRACE LOUISE MURPHY MD
Obstetrics & Gynecology
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 653-0062
LAUREN LOBERG PT
Physical Therapist
4465 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 653-1350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Anderson, M.D. Obstetrics And Gynecology, P.A.'s NPI number?

The NPI number for Matthew Anderson, M.D. Obstetrics And Gynecology, P.A. is 1063865772. It was assigned to this organization in the NPPES registry on July 18, 2016.

Where is Matthew Anderson, M.D. Obstetrics And Gynecology, P.A. located?

Matthew Anderson, M.D. Obstetrics And Gynecology, P.A. is located at 4465 White Bear Pkwy Suite 2, White Bear Lake, MN 55110. The listed phone number is (651) 653-0062.

What is Matthew Anderson, M.D. Obstetrics And Gynecology, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Matthew Anderson, M.D. Obstetrics And Gynecology, P.A. was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.