Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Anderson, MD

Individual provider Emergency Medicine Physician · NPI 1659338887

Jack Anderson, MD is an Emergency Medicine in Scottsdale, Arizona. Qualified in 2011, 15 years ago. Practices with Emergency Associates of Central Texas PA, a 33-clinician group and accepts Medicare assignment. Licensed in Arizona, Oklahoma and Texas.

Years since qualifying
15
Licensed in
AZ, OK, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9787 N 91st St Ste 101
Scottsdale, AZ 85258-5088
Phone: (480) 563-6400
Fax: (480) 563-8009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence R5501 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 24265 (OK)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 45727 (AZ)

Record details

NPI number1659338887
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address9787 N 91st St Ste 101, Scottsdale, AZ 85258-5088

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Emergency Associates Of Central Texas Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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