Tarek Anderson, MD - Pediatrics in South Charleston, WV

Tarek Anderson, MD is a Pediatrics - Neonatal-perinatal Medicine physician based in South Charleston, West Virginia. Tarek Anderson is licensed to practice in West Virginia (license number 18922) and his current practice location is 4605 Maccorkle Ave Sw, South Charleston, West Virginia. He can be reached at his office (for appointments etc.) via phone at (304) 346-9400.

NPI number for Tarek Anderson is 1841365640 and his current mailing address is Po Box L2560, Columbus, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841365640.

Contact Information

Tarek Anderson, MD
4605 Maccorkle Ave Sw,
South Charleston, WV 25309-1311
(304) 346-9400
(304) 345-7320

Map and Direction




Physician's Profile

Full NameTarek Anderson
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location4605 Maccorkle Ave Sw, South Charleston, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841365640
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 05/27/2008

Medical Identifiers

Medical identifiers for Tarek Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841365640NPI-NPPES
001723812OtherWVMTN ST BCBS
0110693000MedicaidWV
3607462003OtherCIGNA HEALTHCARE
4505652OtherWVAETNA
64103021MedicaidKY
W45031OtherWVMOUNTAIN STATE BLUECROSS
0933682MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 18922 (West Virginia)Secondary
208000000XPediatrics 35065363 (Ohio)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 18922 (West Virginia)Primary
2080N0001XPediatrics - Neonatal-perinatal Medicine 35065363 (Ohio)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tarek Anderson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tarek Anderson, MD
Po Box L2560,
Columbus, OH 43260-0001

Ph: (304) 346-9400
Tarek Anderson, MD
4605 Maccorkle Ave Sw,
South Charleston, WV 25309-1311

Ph: (304) 346-9400

Reviews and Comments


Pediatrics Doctors in South Charleston, WV

Dr. Kara Michelle White, DO
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Medicare: Medicare Enrolled
Practice Location: 4607 Maccorkle Ave Sw, Ste 400, South Charleston, WV 25309
Phone: 304-766-4400    Fax: 304-766-4417
Melanie Anne Winnings, MD
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Medicare: Medicare Enrolled
Practice Location: 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309
Phone: 304-766-4400    Fax: 304-766-4417
Dr. Clark Edwin Childers Jr., M.D.
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Medicare: Medicare Enrolled
Practice Location: 4607 Maccorkle Ave Sw, Mp Ste 204, South Charleston, WV 25309
Phone: 304-767-7930    Fax: 304-767-7935
Sharmila Matcheswalla Jones, MD
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Medicare: Medicare Enrolled
Practice Location: 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309
Phone: 304-766-4400    Fax: 304-766-4417
Gilbert Goliath, M.D.
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Medicare: Medicare Enrolled
Practice Location: 4607 Maccorkle Ave Sw Ste 400, South Charleston, WV 25309
Phone: 304-766-3988    Fax: 304-766-3984
Surya N Gupta, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 4803 Kentucky Street, Camc Pediatric Neurology, South Charleston, WV 25309
Phone: 304-766-7695    Fax: 603-663-3229
Eric Crayton Jones, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309
Phone: 304-766-4400    Fax: 304-766-4417

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