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

Derek Anderson

Individual provider Surgical Assistant · NPI 1497416598

Derek Anderson is a Surgical Assistant in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2022
Specialties on file
4

Practice location Address checks out

3624 N 14th St
Saint Louis, MO 63107-3703
Phone: (314) 541-8131
Show map & directions

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

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 2010014757 (MO)
Surgical Assistant Taxonomy 246ZC0007X · Licence 2010014757
Customized Equipment (DME) Taxonomy 332BC3200X · Licence 2010014757 (MO)
Non-emergency Medical Transport (VAN) Taxonomy 343900000X · Licence 2010014757 (MO)

Record details

NPI number1497416598
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 1, 2022
Last updated in NPPESJanuary 1, 2022
Certification dateJanuary 1, 2022

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