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

Tarek Anderson, MD

Individual provider Pediatrics Physician · NPI 1841365640

Tarek Anderson, MD is a Pediatric Medicine in South Charleston, West Virginia. Qualified in 1980, 46 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Ohio and West Virginia.

Years since qualifying
46
Licensed in
OH, WV
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone: (304) 346-9400
Fax: (304) 345-7320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 18922 (WV)
Pediatrics Physician Taxonomy 208000000X · Licence 18922 (WV)
Pediatrics Physician Taxonomy 208000000X · Licence 35065363 (OH)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 35065363 (OH)

Record details

NPI number1841365640
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 21, 2006
Last updated in NPPESMay 27, 2008
Mailing addressPo Box L2560, Columbus, OH 43260-0001

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Charleston