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Deactivated NPI 1548224439 Deactivated / Inactive NPI Male Practitioner

Dr. Dana Kimball Andersen , MD

Surgery • Baltimore, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dana Andersen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 17, 2006
NPI Deactivation Date September 11, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Dana Andersen, MD was a registered Surgery practicing in Baltimore, MD. Throughout an active medical career spanning 19 years, Dr. Andersen provided care at the practice location at 4940 EASTERN AVE until profile deactivation on 2025-09-11.

Practice Location & Contact Primary Location

Practice Address

4940 Eastern Ave

Baltimore, MD 212242735

Telephone 4105500400
Associated Practice Facility / Clinic
🏢 Johns Hopkins University Facility NPI 1922008549

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 28.6 Yrs
Regional Practice Density
266 Specialists

Practicing in Baltimore, MD (717 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MD D17407

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
NPI 1033169578

Doctor of Medicine (M.D.)

Dr. Lisa Jacobs , MD

Surgery - Surgical Oncology

NPI 1063451714

Doctor of Medicine (M.D.)

NPI 1104856871

Doctor of Medicine (M.D.)

Patricia Jordan , CRNP

Nurse Practitioner

NPI 1144261777

Certified Registered Nurse Practitioner

NPI 1225079593

Doctor of Medicine (M.D.)

Michael Cooley , CRNP

Nurse Practitioner

NPI 1235178369

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 11, 2025

Record deactivated on September 11, 2025

NPI Profile Active July 15, 2010

NPI status registered as active in NPPES database

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Updated Practice Location July 15, 2010

Registered at 4940 EASTERN AVE, BALTIMORE, MD 212242735 (Tel: 4105500400)

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Updated Business Mailing Address July 15, 2010

Registered at PO BOX 64563, BALTIMORE, MD 212644563

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Provider Name / Credentials Updated July 15, 2010

Recorded as DANA ANDERSEN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2010

Surgery (License #D17407 in MD)

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Initial NPI Registration & Enumeration April 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548224439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2006
Last Update: July 15, 2010
Deactivation Date: September 11, 2025

Mailing Address

Po Box 64563

Baltimore, MD 212644563

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.