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

Corey Lee Anderson, PA-C

Individual provider Physician Assistant · NPI 1194093161

Corey Lee Anderson, PA-C is a Physician Assistant in Rapid City, South Dakota. Licensed in South Dakota. Registered with an NPI since 2011.

Licensed in
SD
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

7220 S Highway 16
Rapid City, SD 57702-8708
Phone: (605) 341-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0802 (SD)

Record details

NPI number1194093161
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 6, 2011
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020

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