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

Jacob Scott Anderson, DO

Individual provider Family Medicine Physician · NPI 1558708792

Jacob Scott Anderson, DO is a Family Practice in Phoenix, Arizona. Qualified in 2013, 13 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
13
Licensed in
AZ
In the registry since
2013
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.

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Practice location Address checks out

1300 N 12th St Ste 605
Phoenix, AZ 85006-2848
Phone: (602) 839-2668
Fax: (602) 839-2067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R2266 (AZ)

Record details

NPI number1558708792
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 29, 2013
Last updated in NPPESMay 29, 2013
Mailing address1300 N 12th St, Suite 605, Phoenix, AZ 85006-2848

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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