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PHAN TASCO ANDERSON PA
NPI 1265570105
Physician Assistant in Kathleen, GA

Active since February 02, 2007
203 GREYTHORNE DR, KATHLEEN, GA 31047(719) 337-9392 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phan Tasco Anderson Pa NPPES

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

PHAN TASCO ANDERSON PA (NPI 1265570105) is an individual physician assistant in Kathleen, Georgia, licensed in Colorado (1457) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1265570105
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePHAN TASCO ANDERSONCredential: PA
Location Address203 GREYTHORNE DRKathleen, GA 31047-5304
Mailing Address203 Greythorne DrKathleen, GA 31047-5304 · (719) 337-9392
Phone(719) 337-9392
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJanuary 18, 2012
✔ NPI 1265570105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · 1457
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
203 GREYTHORNE DR, Kathleen, GA 31047
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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 Phan Anderson's NPI number?

The NPI number for Phan Anderson is 1265570105. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Phan Anderson located?

Phan Anderson practices at 203 Greythorne Dr, Kathleen, GA 31047. The listed phone number is (719) 337-9392.

What is Phan Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Phan Anderson was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.