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

Dr. Douglas Ken Andersen, DO

Individual provider Internal Medicine Physician · NPI 1730599598

Dr. Douglas Ken Andersen, DO is a Medical Oncology in Pocatello, Idaho. Graduated from Michigan State University College of Osteopathic Medicine in 2014, 12 years ago. Practices with Caribou Memorial Hospital, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
12
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-1720
Fax: (208) 239-1726
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 6352 (OK)

Record details

NPI number1730599598
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 2, 2014
Last updated in NPPESOctober 27, 2022
Certification dateOctober 27, 2022
Mailing address10109 E. 79th Street, Tulsa, OK 74133

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMEDICAL ONCOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Caribou Memorial Hospital — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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