Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES W ANDERSON, MEDICAL DOCTOR
DeactivatedDR. CHARLES W ANDERSON, MEDICAL DOCTOR is a Pediatrics healthcare provider located in TAOS, New Mexico. NPI 1164480133 is deactivated in the NPPES registry. Verify at CMS.
Pediatrics · TAOS, NM
This NPI has been deactivated.
The record was deactivated on July 17, 2007.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1164480133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2006 (1.2103825136612 yrs)
- Last Updated
- Aug 31, 2007
- Deactivated
- Jul 17, 2007
- License
-
64-23 (NM)
Practice Information
- Address
-
123 CRUZ ALTATAOS, NM, 875716279Browse NM providers · Browse ZIP 87571
- Phone
- 5057588651
- Fax
- 5057587811
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in TAOS, NM
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD MICHAEL REMBECKI | MD, PHD | 1003884792 |
| SYLVIA FERNANDEZ VILLARREAL | MD | 1740248756 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.