Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JORDAN SCOTT ANDERSON DO
NPI 1275107377
Anesthesiology in Ardmore, OK

Active since May 14, 2021PECOS Enrolled
1011 14TH AVE NW, ARDMORE, OK 73401(580) 226-1251 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2026, Dec 4, 2024, Jul 22, 2024 and 1 more (4 updates tracked since 2021).

About Dr. Jordan Scott Anderson Do NPPES

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

DR. JORDAN SCOTT ANDERSON DO (NPI 1275107377) is an individual anesthesiology provider in Ardmore, Oklahoma, licensed in Texas (V1011) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1275107377
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. JORDAN SCOTT ANDERSONCredential: DO
Location Address1011 14TH AVE NWArdmore, OK 73401-1828
Mailing AddressPo Box 21228, Dept 99Tulsa, OK 74121-1228 · (580) 226-1251
Sole ProprietorYes
Enumeration DateMay 14, 2021
Last NPPES UpdateJuly 6, 20264 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1275107377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses Licensed in TX · V1011 Licensed in OK · 9524
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1011 14TH AVE NW, Ardmore, OK 73401

Secondary Practice Location 1

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (918) 582-1972

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jordan Scott Anderson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1011 14TH AVE NW, ER DEPT.
ARDMORE, OK 73401
Nurse Practitioner
1011 14TH AVE NW, ER DEPT
ARDMORE, OK 73401
Emergency Medicine (Emergency Medical Services)
1011 14TH AVE NW, ER DEPT.
ARDMORE, OK 73401
Hospitalist
1011 14TH AVE NW
ARDMORE, OK 73401
Family Medicine
1011 14TH AVE NW
ARDMORE, OK 73401
Pathology (Anatomic Pathology & Clinical Pathology)
1011 14TH AVE NW
ARDMORE, OK 73401
Emergency Medicine
1011 14TH AVE NW
ARDMORE, OK 73401
Internal Medicine
1011 14TH AVE NW
ARDMORE, OK 73401

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 Jordan Anderson's NPI number?

The NPI number for Jordan Anderson is 1275107377. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Jordan Anderson located?

Jordan Anderson practices at 1011 14th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 226-1251.

What is Jordan Anderson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jordan Anderson enrolled in Medicare?

Yes. Jordan Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Anderson was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.