Jonathan Walter Anderson II

Physician Assistant · Fort Carson, CO

Individual Active NPI

NPI number 1598248478

Practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone
(352) 682-0333

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NPI record

NPI
1598248478
Entity type
Individual (Type 1)
Enumeration date
September 7, 2018
Last updated
September 12, 2023
Certified
September 12, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9113128 FL
Military Health Care Provider 171000000X — —

About Jonathan Anderson

Jonathan Walter Anderson II is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1650 Cochrane Cir, Fort Carson, CO 80913-4613. The NPI number 1598248478 was assigned on September 7, 2018 and the record was last updated on September 12, 2023.

Jonathan Anderson lists a license in the registry: #PA9113128 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Walter Anderson II?

The NPI number is 1598248478.

What is the phone number of Jonathan Anderson?

The phone number listed for the practice location is (352) 682-0333.

Where is Jonathan Anderson located?

1650 Cochrane Cir, Fort Carson, CO 80913-4613.

What is the taxonomy code for Jonathan Anderson?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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