CMS-1500 Box 24J / 33a • NPI
1962604728
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207L00000X (CMS 05)
Board-Certified Anesthesiologist & Interventional Pain Specialist
Box 32 Service Location & ZIP+4
631 N BROAD STREET EXT, GROVE CITY, PA, 16127-4603
✓ 9-Digit EDI 837 ZIP+4 (16127-4603)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1962604728 (TROY G ANDERSON, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1962604728 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TROY G ANDERSON, D.O. |
| Plain-English Specialty | Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: 207L00000X (Anesthesiology) |
| Certifying / Licensing Body | American Board of Anesthesiology (ABA) |
| Practice Location Address | 631 N BROAD STREET EXT, GROVE CITY, PA, 16127-4603 |
| Practice Telephone / Fax | Tel: (724) 450-7000 |
| Administrative Mailing Address | 403 DEER PATH LN, NEW WILMINGTON, PA, 16142-3505 |
| Enumeration & Last Sync | Enumerated: 2007-06-04 | CMS Record Updated: 2024-01-25 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207L00000X)
What Does Taxonomy Code 207L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TROY G ANDERSON, D.O.)
Typical CPT / Diagnostic Procedures:- General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
- Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
- Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks
- Propofol, Sevoflurane, Rocuronium & Sugammadex
- Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207LA0401X — Anesthesiology, Addiction MedicinePlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: OH | License: 34.009137CTR | Primary: Secondary |
208D00000X — General PracticePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice | State: OH | License: 34.009137CTR | Primary: Secondary |
207LA0401X — Anesthesiology, Addiction MedicinePlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: PA | License: OS015644 | Primary: Secondary |
207L00000X — AnesthesiologyPlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: PA | License: OS015644 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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