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

Keith Richard Anderson, DPM

Individual provider Podiatrist · NPI 1902185051

Keith Richard Anderson, DPM is a Podiatry in Hayward, Wisconsin. Qualified in 2008, 18 years ago. Practices with Medical Services, Inc, a 32-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
18
Licensed in
MN, WI
In the registry since
2011
Specialties on file
6
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11040 N State Road 77
Hayward, WI 54843-3606
Phone: (715) 934-4321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 1017-25 (WI)
Podiatrist Taxonomy 213E00000X · Licence 850 (MN)
Podiatrist Taxonomy 213E00000X · Licence 1017-25 (WI)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence 850 (MN)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence 1017-25 (WI)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 850 (MN)

Record details

NPI number1902185051
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 8, 2011
Last updated in NPPESMay 18, 2021
Certification dateMay 18, 2021

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Medical Services, Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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