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

Michael A Anderson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124406186

Michael A Anderson, DO is a Family Practice in Pocatello, Idaho. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Idaho and Michigan.

Years since qualifying
11
Licensed in
ID, MI
In the registry since
2015
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.

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Practice location Address checks out

1000 Pocatello Creek Rd Ste E10
Pocatello, ID 83201-2953
Phone: (208) 648-4789
Fax: (208) 648-4790
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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 O-1136 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1124406186
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 11, 2015
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address1000 Pocatello Creek Rd Ste E10, Pocatello, ID 83201-2953

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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