MARY ELIZABETH ANDERSON D.O.
NPI 1972981058
General Practice in Fort Sam Houston, TX
About Mary Elizabeth Anderson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ELIZABETH ANDERSON D.O. (NPI 1972981058) is an individual general practice provider in Fort Sam Houston, Texas, licensed in Virginia (0102204609) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Elizabeth Anderson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
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 Mary Anderson's NPI number?
The NPI number for Mary Anderson is 1972981058. It was assigned to this individual provider in the NPPES registry on May 11, 2015.
Where is Mary Anderson located?
Mary Anderson practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 539-9582.
What is Mary Anderson's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Mary Anderson enrolled in Medicare?
Yes. Mary Anderson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mary Anderson was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mary Elizabeth Anderson, D.O. · NPI 1972981058
General Practice physician in Fort Sam Houston, Texas. Individual provider, active in the CMS NPPES registry since May 11, 2015.
## Identity
- **NPI:** 1972981058 (Entity type: Individual)
- **Enumerated:** May 11, 2015
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 0102204609 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234-4504
- **Phone:** (210) 539-9582
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972981058) · Data from the CMS NPPES public registry.