Individual
JAMES M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7494
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLORR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
35-043043
OH
207ZC0006X
Clinical Pathology Physician
35-043043
OH
207ZC0500X
Cytopathology Physician
35-043043
OH
207ZD0900X
Dermatopathology (Pathology) Physician
35-043043
OH
207ZF0201X
Forensic Pathology Physician
35-043043
OH
207ZH0000X
Hematology (Pathology) Physician
35-043043
OH
207ZI0100X
Immunopathology Physician
35-043043
OH
207ZM0300X
Medical Microbiology Physician
35-043043
OH
207ZN0500X
Neuropathology Physician
35-043043
OH
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
35-043043
OH
207ZP0101X
Anatomic Pathology Physician
Primary
35-043043
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
35-043043
OH
207ZP0104X
Chemical Pathology Physician
35-043043
OH
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
35-043043
OH
207ZP0213X
Pediatric Pathology Physician
35-043043
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031488
ANTHEM
OH
01
—
000000224240
UNISON
OH
01
—
000000528732
ANTHEM
OH
01
—
0127464
BCMH
OH
05
—
0498411
—
OH
01
—
0639425
AETNA
OH
05
—
1025590700001
—
PA
01
—
1447279005
MICHIGAN MEDICAID
OH
01
—
220015940
RAILROAD MEDICARE
OH
01
—
363314
WELLCARE
OH
01
—
750457
BUCKEYE
OH
Enumeration date
07/18/2006
Last updated
03/28/2011
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