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

Dr. Shane Keith Anderson, DO

Individual provider Internal Medicine Physician · NPI 1841289659

Dr. Shane Keith Anderson, DO is an Internal Medicine Physician in Malad City, Idaho. Practices as a sole proprietor. Licensed in Missouri and Montana.

Licensed in
MO, MT
In the registry since
2005
Specialties on file
2
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

220 Bannock St
Malad City, ID 83252-1256
Phone: (208) 766-2600
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 11818 (MT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2004001424 (MO)

Record details

NPI number1841289659
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedOctober 14, 2005
Last updated in NPPESMay 24, 2011
Mailing addressPo Box 126, Malad City, ID 83252-0126