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DR. CASEY L ANDERSON M.D.
NPI 1558617464
Student in an Organized Health Care Education/Training Program in Southlake, TX

Active since July 29, 2012
415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092(817) 416-8080(817) 421-8327 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2020, Apr 25, 2017 (2 updates tracked since 2017).

About Dr. Casey L Anderson M.d. NPPES

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

DR. CASEY L ANDERSON M.D. (NPI 1558617464) is an individual student in an organized health care education/training program in Southlake, Texas and active in the NPI registry since July 2012. He maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1558617464
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CASEY L ANDERSONCredential: M.D.
Location Address415 E SOUTHLAKE BLVD STE 101Southlake, TX 76092-6279
Mailing Address910 Madison Ave, Room 315Memphis, TN 38163 · (901) 448-1350
Phone(817) 416-8080
Fax(817) 421-8327
Sole ProprietorNo
Enumeration DateJuly 29, 2012
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1558617464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
415 E SOUTHLAKE BLVD STE 101, Southlake, TX 76092
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Secondary Practice Location 1

Location 1920 Madison Ave, Suite 447Memphis, TN 38163 · Phone (901) 448-1350

Other Providers at the Same Location NPPES 5

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

DR. JACOB CARLSON MD
Surgery
415 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 76092
Tarrant County (817) 416-8080
DR. GRANT ALEXANDER BOND M.D.
Surgery (Plastic and Reconstructive Surgery)
415 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 76092
Tarrant County (817) 416-8080
BROOKS BRENDEN KELLY MD
Surgery (Plastic and Reconstructive Surgery)
415 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 76092
Tarrant County (817) 809-3155
ARVIND MANISUNDARAM
Surgery (Plastic and Reconstructive Surgery)
415 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 76092
Tarrant County (817) 416-8080
TAYLOR ANN CHISHOM MD MPH
Plastic Surgery
415 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 76092
Tarrant County (972) 636-4902

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 Casey Anderson's NPI number?

The NPI number for Casey Anderson is 1558617464. It was assigned to this individual provider in the NPPES registry on July 29, 2012.

Where is Casey Anderson located?

Casey Anderson practices at 415 E Southlake Blvd Ste 101, Southlake, TX 76092. The listed phone number is (817) 416-8080.

What is Casey Anderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Casey Anderson was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.